The prevalence of anxiety and associated factors in a multiracial sample of older adults.
The prevalence of anxiety and associated factors in a multiracial sample of older adults.
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多种族老年人样本中焦虑症的患病率及相关因素。
DOI：
10.1176/ps.2006.57.12.1719
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发表时间：
2006
期刊：
影响因子：
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通讯作者：
Walcott-Brown,Lorna
中科院分区：
文献类型：
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作者：
Cohen,CarlI;Magai,Carol;Yaffee,Robert;Walcott-Brown,Lorna
目的：很少有关于老年人焦虑的多种族流行病学社区研究。这项研究调查了居住在城市地区的老年人中亚症候群和症候群焦虑的患病率及其相关因素。方法：对1996-1999年间居住在纽约布鲁克林的55岁及以上老年人(白种人214人，黑人860人)进行随机分组访谈。研究人员使用了乔治社交先行模型的改编，来检验18个变量与焦虑的关联。焦虑症被定义为焦虑状态量表(ASIS)上得分在50或更高的患者。亚综合征焦虑被定义为ASIS评分低于50，并且在三个或更多ASIS项目上做出积极反应，包括至少一个担忧项目。在1990年人口普查总数的基础上，样本按种族和性别加权。结果：症状性焦虑患病率为2.3%，亚症状性焦虑患病率为13.3%。经二元Logistic回归分析，被评为综合症焦虑症的人在18个变量中有10个与非焦虑症患者不同，而亚综合征焦虑症患者有7个变量不同。焦虑组在三个变量上存在差异。在过去的一年里，分别有23%和12%的综合症和亚综合征焦虑症患者报告寻求心理健康援助。结论：大约14%的老年人患有焦虑，而且大部分没有得到治疗。焦虑和非焦虑的个体在心理社会和健康相关变量上有很大的差异。患有亚综合征焦虑症的老年人可以被视为有别于没有焦虑的老年人。
Objective: Few multiracial epidemiological community-based studies of anxiety have been conducted with older adults. This study examined the prevalence of subsyndromal and syndromal anxiety and associated factors among older persons living in an urban area. Methods: Persons aged 55 years and over (214 Caucasian and 860 black) living in Brooklyn, New York, between 1996 and 1999 were interviewed in randomly selected block groups. The researchers used an adaptation of George’s social antecedent model to examine the association of 18 variables with anxiety. Syndromal anxiety was defined as a score of 50 or higher on the Anxiety Status Inventory Scale (ASIS). Subsyndromal anxiety was defined as an ASIS score under 50 and a positive response on three or more ASIS items, including at least one worry item. The sample was weighted by race and gender on the basis of 1990 census totals. Results: The prevalence of syndromal and subsyndromal anxiety was 2.3 and 13.3 percent, respectively. With binary logistic regression analysis, persons rated as having syndromal anxiety differed from nonanxious individuals on ten of the 18 variables and persons with subsyndromal anxiety differed on seven. The anxiety groups differed from each other on three variables. In the past year, 23 and 12 percent of persons with syndromal and subsyndromal anxiety, respectively, reported seeking mental health assistance.Conclusions: About 14 percent of older adults have anxiety, and much of it is untreated. Anxious and nonanxious individuals have substantial differences in psychosocial and health-related variables. Older adults who have subsyndromal anxiety can be viewed as distinct from nonanxious older individuals.(Psychiatric Services 57: 1719–1725, 2006)