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Alongside the direct impact of the virus on individuals, government responses to tackling its spread, such as quarantine, lockdown, and physical distancing measures, have been found to have a profound impact on mental health. This is manifested in an increased prevalence of anxiety, depression, and sleep disturbances. As older adults are more vulnerable and severely affected by the pandemic, they may be at increased psychological risk when seeking to protect themselves from COVID-19. Methods: Our study aims to quantify the association between the stringency of measures and increased feelings of sadness\/depression in a sample of 31,819 Europeans and Israelis aged 65 and above. We hypothesize that more stringent measures make it more likely that individuals will report increased feelings of sadness or depression. Conclusions: We found that more stringent measures across countries in Europe and Israel affect the mental health of older individuals. The prevalence of increased feelings of sadness\/depression was higher in Southern European countries, where the measures were more stringent. We therefore recommend paying particular attention to the possible effects of pandemic control measures on the mental health of older people.<\/jats:p>","DOI":"10.3390\/ijerph18158017","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T10:47:46Z","timestamp":1627555666000},"page":"8017","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["A Study of the Association between the Stringency of Covid-19 Government Measures and Depression in Older Adults across Europe and Israel"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6798-4070","authenticated-orcid":false,"given":"Gina","family":"Voss","sequence":"first","affiliation":[{"name":"Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2273-5433","authenticated-orcid":false,"given":"Andreia F.","family":"Paiva","sequence":"additional","affiliation":[{"name":"Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2394-4077","authenticated-orcid":false,"given":"Alice","family":"Delerue Matos","sequence":"additional","affiliation":[{"name":"Communication and Society Research Centre, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal"},{"name":"Department of Sociology, Institute of Social Sciences, University of Minho, 4710-057 Braga, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1111\/1475-5890.12239","article-title":"The Mental Health Effects of the First Two Months of Lockdown during the COVID-19 Pandemic in the UK*","volume":"41","author":"Banks","year":"2020","journal-title":"Fisc. Stud."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S., and Ho, R.C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17051729"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1080\/15387216.2020.1762103","article-title":"Pandemic and lockdown: A territorial approach to COVID-19 in China, Italy and the United States","volume":"61","author":"Ren","year":"2020","journal-title":"Eurasian Geogr. Econ."},{"key":"ref_4","unstructured":"Hale, T., Webster, S., Petherick, A., Phillips, T., and Kira, K. (2020, December 10). Oxford COVID-19 Government Response Tracker, Blavatnik School of Government. Available online: https:\/\/ourworldindata.org\/grapher\/covid-stringency-index."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Usher, K., Bhullar, N., and Jackson, D. (2020). Life in the pandemic: Social isolation and mental health. J. Clin. Nurs.","DOI":"10.1111\/jocn.15290"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S2215-0366(20)30168-1","article-title":"Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science","volume":"7","author":"Holmes","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.bbi.2020.05.040","article-title":"Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain","volume":"87","author":"Castellanos","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"113462","DOI":"10.1016\/j.psychres.2020.113462","article-title":"Lockdown, quarantine measures, and social distancing: Associations with depression, anxiety and distress at the beginning of the COVID-19 pandemic among adults from Germany","volume":"293","author":"Benke","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_9","unstructured":"World Health Organization (2020, December 12). Mental Health and Psychosocial Considerations during the COVID-19 Outbreak. Available online: https:\/\/www.who.int\/docs\/default-source\/coronaviruse\/mental-health-considerations.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"112954","DOI":"10.1016\/j.psychres.2020.112954","article-title":"Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey","volume":"288","author":"Huang","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e924609-1","DOI":"10.12659\/MSM.924609","article-title":"Comparison of Prevalence and Associated Factors of Anxiety and Depression among People Affected by versus People Unaffected by Quarantine during the COVID-19 Epidemic in Southwestern China","volume":"26","author":"Lei","year":"2020","journal-title":"Med. Sci. Monit."},{"key":"ref_12","unstructured":"Armbruster, S., and Klotzb\u00fccher, V. (2020). Lost in lockdown? COVID-19, social distancing, and mental health in Germany. Diskussionsbeitr\u00e4ge, 4, Available online: https:\/\/www.econstor.eu\/bitstream\/10419\/218885\/1\/1698957106.pdf."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Bailey, L., Ward, M., Di Cosimo, A., Baunta, S., Cunningham, C., Romero-Ortuno, R., Kenny, R.A., Purcell, R., Lannon, R., and McCarroll, K. (2021). Physical and mental health of older people while cocooning during the COVID-19 pandemic. QJM Int. J. Med.","DOI":"10.1093\/qjmed\/hcab015"},{"key":"ref_14","first-page":"1","article-title":"Loneliness and Mental Health During the COVID-19 Pandemic: A Study Among Dutch Older Adults","volume":"XX","author":"Steinmetz","year":"2020","journal-title":"J. Gerontol. Ser. B"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1093\/geront\/gnaa144","article-title":"Older People\u2019s Nonphysical Contacts and Depression During the COVID-19 Lockdown","volume":"61","author":"Arpino","year":"2021","journal-title":"Gerontologist"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Esterwood, E., and Saeed, S.A. (2020). Past Epidemics, Natural Disasters, COVID19, and Mental Health: Learning from History as we Deal with the Present and Prepare for the Future. Psychiatr. Q., 1\u201313.","DOI":"10.1007\/s11126-020-09808-4"},{"key":"ref_17","first-page":"1","article-title":"The Implications of COVID-19 for Mental Health and Substance Use | KFF","volume":"21","author":"Panchal","year":"2020","journal-title":"Kais. Fam. Found."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.hlpt.2020.08.021","article-title":"The COVID-19 pandemic in Ireland: An overview of the health service and economic policy response","volume":"9","author":"Kennelly","year":"2020","journal-title":"Health Policy Technol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1016\/j.jinf.2020.03.005","article-title":"Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients","volume":"80","author":"Liu","year":"2020","journal-title":"J. Infect."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1111\/jgs.16472","article-title":"COVID-19 and Older Adults: What We Know","volume":"68","author":"Shahid","year":"2020","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1177\/070674370905400504","article-title":"The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk","volume":"54","author":"Wu","year":"2009","journal-title":"Can. J. Psychiatry"},{"key":"ref_22","first-page":"201","article-title":"Psychological impact of COVID-19 on older adults","volume":"10","author":"Mukhtar","year":"2020","journal-title":"Curr. Med. Res. Pract."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Webb, L. (2020). COVID-19 lockdown: A perfect storm for older people\u2019s mental health. J. Psychiatr. Ment. Health Nurs.","DOI":"10.1111\/jpm.12644"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Calder\u00f3n-Larra\u00f1aga, A., Dekhtyar, S., Vetrano, D.L., Bellander, T., and Fratiglioni, L. (2020). COVID-19: Risk accumulation among biologically and socially vulnerable older populations. Ageing Res. Rev., 101149.","DOI":"10.1016\/j.arr.2020.101149"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1093\/qjmed\/hcaa145","article-title":"The elderly and COVID-19: Cocooning or culling\u2014The choice is ours","volume":"113","author":"Donnelly","year":"2020","journal-title":"QJM Int. J. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1037\/0021-843X.86.2.103","article-title":"Vulnerability: A new view of schizophrenia","volume":"86","author":"Zubin","year":"1977","journal-title":"J. Abnorm. Psychol."},{"key":"ref_27","first-page":"198","article-title":"The stress-vulnerability model how does stress impact on mental illness at the level of the brain and what are the consequences?","volume":"22","author":"Goh","year":"2010","journal-title":"Psychiatr. Danub."},{"key":"ref_28","unstructured":"B\u00f6rsch-Supan, A. (Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 8. COVID-19 Survey 1. Release Version: 0.0.1. Beta, 2020). Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 8. COVID-19 Survey 1. Release Version: 0.0.1. Beta, SHARE-ERIC. Data Set; Technical Report."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1093\/ije\/dyt088","article-title":"DATA RESOURCE PROFILE Data Resource Profile: The Survey of Health, Ageing and Retirement in Europe (SHARE)","volume":"42","author":"Brandt","year":"2013","journal-title":"Int. J. Epidemiol."},{"key":"ref_30","first-page":"217","article-title":"Collecting survey data among the 50+ population during the COVID-19 pandemic: The survey of health, (share)ageing and retirement in Europe","volume":"14","author":"Scherpenzeel","year":"2020","journal-title":"Surv. Res. Methods"},{"key":"ref_31","unstructured":"World Health Organization (2020, December 10). Director-General\u2019s Opening Remarks at the Media Briefing on COVID-19\u201411 March 2020. Available online: https:\/\/www.who.int\/director-general\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19\u201411-march-2020."},{"key":"ref_32","unstructured":"B\u00f6rsch-Supan, A. (Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 7. Release Version: 7.1.1, 2020). Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 7. Release Version: 7.1.1, SHARE-ERIC. Data Set; Technical Report."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"B\u00f6rsch-Supan, A. (Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 6. Release Version: 7.1.0, 2019). Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 6. Release Version: 7.1.0, SHARE-ERIC. Data Set; Technical Report.","DOI":"10.1007\/978-3-319-69892-2_348-1"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1177\/1094428106296642","article-title":"Answers to 20 questions about interrater reliability and interrater agreement","volume":"11","author":"LeBreton","year":"2008","journal-title":"Organ. Res. Methods"},{"key":"ref_35","first-page":"e53","article-title":"The Impact of Sheltering in Place During the COVID-19 Pandemic on Older Adults\u2019 Social and Mental Well-Being","volume":"76","author":"Krendl","year":"2021","journal-title":"J. Gerontol. Ser. Psychol. Sci. Soc. Sci."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Brooks, S.K., Webster, R.K., Smith, L.E., Woodland, L., Wessely, S., Greenberg, N., and Rubin, G.J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. SSRN Electron. J.","DOI":"10.2139\/ssrn.3532534"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1176\/appi.ps.55.9.1055","article-title":"Survey of stress reactions among health care workers involved with the SARS outbreak","volume":"55","author":"Bai","year":"2004","journal-title":"Psychiatr. Serv."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"100213","DOI":"10.1136\/gpsych-2020-100213","article-title":"A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations","volume":"33","author":"Qiu","year":"2020","journal-title":"Gen. Psychiatry"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., and Roma, P. (2020). A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors. Int. J. Environ. Res. Public Health Artic., 17.","DOI":"10.3390\/ijerph17093165"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Yamamoto, T., Uchiumi, C., Suzuki, N., Yoshimoto, J., and Murillo-Rodriguez, E. (2020). The psychological impact of \u2018mild lockdown\u2019 in Japan during the COVID-19 pandemic: A nationwide survey under a declared state of emergency. Int. J. Environ. Res. Public Health, 17.","DOI":"10.1101\/2020.07.17.20156125"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1002\/da.22077","article-title":"Risk factors for post-injury mental health problems","volume":"30","author":"Sareen","year":"2013","journal-title":"Depress. Anxiety"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.jpsychores.2006.05.009","article-title":"Socioeconomic differences in incident depression in older adults: The role of psychosocial factors, physical health status, and behavioral factors","volume":"61","author":"Koster","year":"2006","journal-title":"J. Psychosom. Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1080\/13607863.2011.602959","article-title":"Predicting the trajectories of depressive symptoms among southern community-dwelling older adults: The role of religiosity","volume":"16","author":"Sun","year":"2012","journal-title":"Aging Ment. Health"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/S0165-0327(03)00132-0","article-title":"What depressive symptoms are associated with the use of care services? Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS)","volume":"80","author":"Vollebergh","year":"2004","journal-title":"J. Affect. Disord."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1177\/070674370404900612","article-title":"The Psychosocial Effects of Being Quarantined following Exposure to SARS: A Qualitative Study of Toronto Health Care Workers","volume":"49","author":"Robertson","year":"2004","journal-title":"Can. J. Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Moreira, P.S., Ferreira, S., Couto, B., Machado-Sousa, M., Fern\u00e1ndez, M., Raposo-Lima, C., Sousa, N., Pic\u00f3-P\u00e9rez, M., and Morgado, P. (2021). Protective elements of mental health status during the covid-19 outbreak in the portuguese population. Int. J. Environ. Res. Public Health, 18.","DOI":"10.1101\/2020.04.28.20080671"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1016\/j.jagp.2020.06.024","article-title":"The Mental Health Benefits of Physical Activity in Older Adults Survive the COVID-19 Pandemic","volume":"28","author":"Callow","year":"2020","journal-title":"Regul. Res. Artic. Geriatr. Psychiatry"},{"key":"ref_48","first-page":"1","article-title":"Psychological, social and health-related challenges in spanish older adults during the lockdown of the covid-19 first wave","volume":"11","author":"Facal","year":"2020","journal-title":"Front. Psychiatry"},{"key":"ref_49","unstructured":"The Gerontological Society of America (2021, February 25). COVID-19 Updates. Available online: https:\/\/www.geron.org\/programs-services\/covid-19-updates."},{"key":"ref_50","unstructured":"The Spanish Society of Geriatrics and Gerontology (2021, February 25). 9 COVID-19 Proposalsfor Geriatry and Gerontology. Available online: https:\/\/www.segg.es\/actualidad-segg\/2020\/05\/06\/9-propuestas-covid-19-de-la-geriatria-y-gerontologia."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1590\/1516-4446-2020-0995","article-title":"Why psychiatric treatment must not be neglected during the COVID-19 pandemic","volume":"42","author":"Correa","year":"2020","journal-title":"Braz. J. Psychiatry"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/pcn.12988","article-title":"Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations","volume":"74","author":"Shigemura","year":"2020","journal-title":"Psychiatry Clin. Neurosci"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/15\/8017\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:36:35Z","timestamp":1760164595000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/15\/8017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,29]]},"references-count":52,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2021,8]]}},"alternative-id":["ijerph18158017"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18158017","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,29]]}}}