The characteristics of anxiety and depression symptom severity in older adults living in public housing.

The characteristics of anxiety and depression symptom severity in older adults living in public housing.
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居住在公共住房的老年人焦虑和抑郁症状严重程度的特征。

DOI:
10.1017/s1041610211001979
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发表时间:
2012
影响因子:
7
通讯作者:
vanWijngaarden,Edwin
vanWijngaarden,Edwin
中科院分区:
医学1区
文献类型:
--
作者:
Simning,Adam;Conwell,Yeates;Fisher,SusanG;Richardson,ThomasM;vanWijngaarden,Edwin

文献摘要

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BackgroundAnxiety and depression are common in older adult public housing residents and frequently co-occur. To understand anxiety and depression more fully in this socioeconomically disadvantaged population, this study relies on the Social Antecedent Model of Psychopathology to characterize anxiety and depression symptoms concurrently.Methods190 public housing residents aged 60 years and older in Rochester, New York, participated in a research interview during which they reported on variables across the six stages of the Social Antecedent Model. GAD-7 and PHQ-9 assessed anxiety and depression symptoms, respectively.ResultsIn these older adult residents, anxiety and depression symptom severity scores were correlated (r = 0.61; p < 0.001). Correlates of anxiety and depression symptom severity were similar for both outcomes and spanned the six stages of the Social Antecedent Model. Multivariate linear regression models identified age, medical comorbidity, mobility, social support, maladaptive coping, and recent life events severity as statistically significant correlates. The regression models accounted for 43% of anxiety and 48% of depression symptom variability.ConclusionsIn public housing residents, late-life anxiety and depression symptoms were moderately correlated. Anxiety symptom severity correlates were largely consistent with those found for depression symptom severity. The broad distribution of correlates across demographic, social, medical, and behavioral domains suggests that the context of late-life anxiety and depression symptomatology in public housing is complex and that multidisciplinary collaborative care approaches may be warranted in future interventions.