Vision and hearing impairments are associated with depressive-anxiety syndrome in Italian elderly
Vision and hearing impairments are associated with depressive-anxiety syndrome in Italian elderly
复制标题
DOI：
10.1080/13607863.2011.562483
复制
发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Atti, Anna Rita
中科院分区：
文献类型：
--
作者：
Bernabei, Virginia;Morini, Valentina;Atti, Anna Rita
目的：本研究的目的是评估参与北方意大利法恩扎项目的大规模人群中视力和听力障碍与抑郁焦虑综合征之间的关联。方法：研究人群包括7389名未受痴呆症影响的参与者，4408名（59.7%），其中女性，平均年龄+/-标准差（+/- SD）71.9（+/- 7.7）岁。研究对象为抑郁症和焦虑症患者，研究对象为既往或当前的精神症状，包括睡眠和饮食习惯、非语言表达和日常生活能力。一个半结构化的采访进行调查存在的感觉障碍。结果：视觉和听力障碍的患病率分别为1.4%和0.2%，年龄在75岁以上的人群中有增加的趋势（P < 0.001）。视力受损参与者中抑郁综合征的患病率较高（20.2%比9.3%，p < 0.001），尤其是女性（22.9%）和75岁以上人群（22.1%）。听力受损组的焦虑综合征患病率较高（25.0% vs. 11.0%，p = 0.09）。视力受损的参与者，尤其是女性和75岁以上的参与者，患抑郁综合征的概率要高出两倍。（OR = 2.03，95%CI 1.21-3.38），听力障碍者出现焦虑综合征的概率增加（OR = 2.71，95%CI = 0.86-8.55），但无统计学意义。结论：老年人感觉功能障碍可增加抑郁和焦虑综合征的发生率。纠正这些缺陷可以改善这一人群的生活质量。
Objective: The aim of this study was to evaluate the association between vision and hearing impairment and depressive-anxiety syndrome in a large population participating in the Faenza Project, Northern Italy.Method: The study population consisted of 7389 participants not affected by dementia, 4408 (59.7%), of whom were women, mean age +/- standard deviation (+/- SD) 71.9 (+/- 7.7) years. Information about previous or current psychiatric symptoms, including sleeping and eating habits, non-verbal language and ability in activity of daily living was used to investigate depressive and anxiety syndrome. A semi-structured interview was administered to survey the presence of sensory impairment. Logistic regression analyses were used to evaluate the association between sensory impairment and depressive-anxiety syndrome estimating Odds ratio (OR) and 95% confidence interval (95% CI).Results: The prevalence of vision and hearing impairment was 1.4% and 0.2%, respectively, with an increasing trend in people aged 75+ years (p < 0.001). The prevalence of depressive syndrome was higher among vision-impaired participants (20.2% vs. 9.3%, p < 0.001), especially women (22.9%) and persons aged 75+ years (22.1%). The prevalence of anxiety syndrome was higher in the hearing-impaired group (25.0% vs. 11.0%, p = 0.09). Vision-impaired participants, especially women and participants aged 75+ years had have a twofold higher probability to have depressive syndrome (OR = 2.03, 95% CI 1.21-3.38), and hearing-impaired individuals showed an increased probability of presenting anxiety syndrome (OR = 2.71, 95% CI = 0.86-8.55), although these results were not statistically significant.Conclusion: This study's findings suggest that sensory impairment in older adults can increase their probability of experiencing depressive and anxiety syndrome. Correction of these deficits could improve the quality of life in this population.