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The aim of this study is to analyze a) knowledge about, and feelings related to the Corona-pandemic. Describe b) loneliness, depression and anxiety and, c) the perceived, immediate impact of the lockdown on frequency of social contacts and quality of health care provision of people with cognitive impairment during social distancing and lockdown in the primary care system and living at home in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This analysis is based on data of a telephone-based assessment in a convenience sample of\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009141 people with known cognitive impairment in the primary care setting. Data on e.g. cognitive and psychological status prior to the pandemic was available. Attitudes, knowledge about and perceived personal impact of the pandemic, social support, loneliness, anxiety, depression, change in the frequency of social activities due to the pandemic and perceived impact of the pandemic on health care related services were assessed during the time of lockdown.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The vast majority of participants are sufficiently informed about Corona (85%) and most think that the measures taken are appropriate (64%). A total of 11% shows one main symptom of a depression according to DSM-5. The frequency of depressive symptoms has not increased between the time before pandemic and lockdown in almost all participants. The sample shows minimal (65.0%) or low symptoms of anxiety (25%). The prevalence of loneliness is 10%. On average seven activities have decreased in frequency due to the pandemic. Social activities related to meeting people, dancing or visiting birthdays have decreased significantly. Talking with friends by phone and activities like gardening have increased. Utilization of health care services like day clinics, relief services and prescribed therapies have been reported to have worsened due to the pandemic. Visits to general practitioners decreased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study shows a small impact of the pandemic on psychological variables like depression, anxiety and loneliness in the short-term in Germany. There is a decrease in social activities as expected. The impact on health care provision is prominent. There is a need for qualitative, in-depth studies to further interpret the results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-020-01957-2","type":"journal-article","created":{"date-parts":[[2020,12,29]],"date-time":"2020-12-29T07:02:37Z","timestamp":1609225357000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["The situation of elderly with cognitive impairment living at home during lockdown in the Corona-pandemic in Germany"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6889-693X","authenticated-orcid":false,"given":"Jochen Ren\u00e9","family":"Thyrian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friederike","family":"Kracht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Nikelski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Boekholt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanny","family":"Schumacher-Sch\u00f6nert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"R\u00e4dke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Michalowsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst Christian","family":"Vollmar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisca S.","family":"Rodriguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan H.","family":"Kreisel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,12,29]]},"reference":[{"key":"1957_CR1","doi-asserted-by":"crossref","unstructured":"Chen Q, Zheng Z, Zhang C, Zhang X, Wu H, Wang J, Wang S, Zheng C. 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J Multidiscip Healthc. 2019;12:655\u201363.","journal-title":"J Multidiscip Healthc"},{"key":"1957_CR49","volume-title":"SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing home","author":"NS Graham","year":"2020","unstructured":"Graham NS, Junghans C, Downes R, Sendall C, Lai H, McKirdy A, Elliott P, Howard R, Wingfield D, Priestman M et al: SARS-CoV-2 infection, clinical features and outcome of COVID-19 in United Kingdom nursing home. 2020."},{"key":"1957_CR50","doi-asserted-by":"crossref","unstructured":"Gordon AL, Goodman C, Achterberg W, Barker RO, Burns E, Hanratty B, Martin FC, Meyer J, O'Neill D, Schols J, et al. Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery. Age and Ageing. 2020;49(5):701\u20135.","DOI":"10.1093\/ageing\/afaa113"},{"key":"1957_CR51","doi-asserted-by":"publisher","unstructured":"Grabowski DC, Mor V. Nursing home Care in Crisis in the wake of COVID-19. JAMA. 2020;324(1):23\u20134. https:\/\/doi.org\/10.1001\/jama.2020.8524.","DOI":"10.1001\/jama.2020.8524"}],"container-title":["BMC Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-020-01957-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12877-020-01957-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12877-020-01957-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T05:11:27Z","timestamp":1724130687000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcgeriatr.biomedcentral.com\/articles\/10.1186\/s12877-020-01957-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12]]},"references-count":51,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1957"],"URL":"https:\/\/doi.org\/10.1186\/s12877-020-01957-2","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-65455\/v4","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-65455\/v3","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-65455\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-65455\/v1","asserted-by":"object"}]},"ISSN":["1471-2318"],"issn-type":[{"value":"1471-2318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12]]},"assertion":[{"value":"26 August 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 December 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Intersec-CM is registered as clinical trial (ClinicalTrials.gov, NCT03359408) and Ethical approval has been obtained from the ethics committee of Greifswald Medical School (registry number: BB 159\/17) and the ethics committee of the Chamber of Physicians of Westfalen-Lippe (registry number: 2017\u2013688-b-S). Ethical approval for the DCM:Impact study was obtained by the ethics committee of the University Medicine Greifswald (BB 01\/2019). Participants gave written informed consent to participate in these studies. In both studies, participants agreed to be regularly asked about their current living situation, health, quality of life, social contacts, health issues, burden, utilization of medical services and others. As such, conducting the assessments analyzed here were covered by the original ethical approval and no further approval was obtained. Written informed consent was obtained personally or by legal guardians when necessary.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"540"}}