Anxiety and its correlates among older adults accessing aging services.
Anxiety and its correlates among older adults accessing aging services.
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获得老龄服务的老年人的焦虑及其相关性。
DOI：
10.1002/gps.2474
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发表时间：
2011
影响因子：
4
通讯作者：
Conwell,Yeates
中科院分区：
文献类型：
--
作者：
Richardson,ThomasM;Simning,Adam;He,Hua;Conwell,Yeates
目的评估老年服务网络(ASN)服务对象的焦虑特征。方法作为研究社区老年人心理健康需求的学术-社区合作的一部分，进行访谈。参与者包括纽约州门罗县的ASN客户，他们年龄在60岁及以上，并接受了护理管理服务的家庭评估。采用Goldberg焦虑量表筛查焦虑症状，测量相关心理健康、躯体健康与残疾、社会支持、负性生活事件及其他与老年服务相关的领域。在双变量分析中，焦虑与目前的主要抑郁发作(MDE)、五种或更多的医疗条件、疼痛、年龄较小、收入较少和负面生活事件有关。在控制MDE的多因素分析中，医疗条件、疼痛、负性生活事件和年龄较小是ASN患者焦虑的显著相关因素。结论接受家庭护理管理服务的ASN患者普遍存在焦虑。这些焦虑的客户患有精神、医疗和社会问题的组合，这表明需要多学科的护理。因为老年服务提供商与他们的客户合作来改善与焦虑高度相关的情况，ASN代表着一个很有前途的场所，可以检测、管理和预防老年人的焦虑。版权所有©2010 John Wiley&Sons，Ltd.
ObjectivesTo assess the characteristics of anxiety in aging services network (ASN) clients.MethodsInterviews were conducted as part of an academic‐community partnership for studying the mental health needs of community‐dwelling older adults. Participants consisted of ASN clients in Monroe County, NY, that were aged 60 years and older and received an in‐home assessment for care management services. The Goldberg Anxiety Scale screened for anxiety symptoms, and instruments covering the domains of associated mental health, physical health and disability, social support, negative life events, and other areas relevant to delivery of aging services were administered.ResultsOf 378 subjects enrolled, 27% had clinically significant levels of anxiety. In bivariate analyses anxiety was associated with having a current major depressive episode (MDE), five or more medical conditions, pain, younger age, less income, and negative life events. After controlling for MDE in multivariate analyses, medical conditions, pain, negative life events, and younger age were significant correlates of anxiety in ASN clients.ConclusionsAnxiety was common among ASN clients who received in‐home care management services. These anxious clients suffered from a combination of mental, medical, and social issues that suggests the need for multidisciplinary care. Because aging services providers work with their clients to ameliorate conditions that are highly correlated with anxiety, the ASN represents a promising venue for detecting, managing, and preventing anxiety among older adults. Copyright © 2010 John Wiley & Sons, Ltd.