Symptoms of anxiety and depression predicting fall-related outcomes among older Americans: a longitudinal study.
Symptoms of anxiety and depression predicting fall-related outcomes among older Americans: a longitudinal study.
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DOI：
10.1186/s12877-022-03406-8
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发表时间：
2022-09-14
期刊：
影响因子：
4.1
通讯作者：
Liu, Minhui
中科院分区：
文献类型：
--
作者：
Luo, Yuqian;Miyawaki, Christina E.;Valimaki, Maritta A.;Tang, Siyuan;Sun, Hongyu;Liu, Minhui
焦虑和抑郁症状与害怕跌倒和害怕跌倒相关的活动限制有关。然而，目前还不清楚焦虑或抑郁症状是否可以单独预测老年人对跌倒和活动限制的恐惧。我们试图确定焦虑和抑郁症状是否可以单独作为社区居住老年人害怕跌倒和活动受限的独立预测因素。该纵向分析使用了来自国家健康和老龄化趋势研究的第5波（时间1，[T1]）和第6波（时间2，[T2]，从T1开始1年）数据（N = 6376）。广泛性焦虑障碍量表2和患者健康问卷2分别用于评估焦虑和抑郁症状。访谈问题包括人口统计学、健康相关数据和跌倒担忧水平（不害怕跌倒、害怕跌倒但没有活动限制和活动限制）。使用多项逻辑回归模型，我们研究了焦虑和抑郁症状（T1）是否可以预测跌倒恐惧和活动限制（T2）。在第5波（T1，平均年龄：78岁，58.1%女性），10%和13%的参与者报告了焦虑和抑郁症状。大约19%的参与者经历了对跌倒的恐惧，但没有活动限制，10%的参与者在第6波（T2）中出现了活动限制。在T1时有焦虑症状的参与者在T2时有1.33倍的跌倒恐惧风险（95%CI = 1.02-1.72）和1.41倍的活动限制风险（95%CI = 1.04-1.90）。然而，在调整焦虑症状后，抑郁症状并没有表现出任何意义。焦虑症状似乎是未来害怕跌倒和活动限制的独立危险因素，而抑郁症状则不是。为了防止将来担心摔倒和活动受限，我们应该特别注意有焦虑症状的老年人。在线版本包含补充材料，可通过10.1186/s12877-022-03406-8获得。
Anxiety and depressive symptoms are associated with fear of falling and fear of falling-related activity restrictions. However, it remains unknown whether anxiety or depressive symptoms alone could predict fear of falling and activity restrictions in older adults. We sought to determine if anxiety and depressive symptoms alone could be an independent predictor of fear of falling and activity restrictions in community-dwelling older adults. This longitudinal analysis used waves 5 (time 1, [T1]) and 6 (time 2, [T2], 1 year from T1) data (N = 6376) from the National Health and Aging Trends Study. The Generalized Anxiety Disorder Scale 2 and Patient Health Questionnaire 2 were used to assess anxiety and depressive symptoms, respectively. Interview questions included demographics, health-related data, and fall worry levels (no fear of falling, fear of falling but no activity restrictions, and activity restrictions). Using multinomial logistic regression models, we examined whether anxiety and depressive symptoms (T1) predicted fear of falling and activity restrictions (T2). In wave 5 (T1, mean age: 78 years, 58.1% female), 10 and 13% of participants reported anxiety and depressive symptoms. About 19% of participants experienced fear of falling but not activity restrictions, and 10% of participants developed activity restrictions in wave 6 (T2), respectively. Participants with anxiety symptoms at T1 had a 1.33 times higher risk of fear of falling (95% CI = 1.02–1.72) and 1.41 times higher risk of activity restrictions (95% CI = 1.04–1.90) at T2. However, having depressive symptoms did not show any significance after adjusting for anxiety symptoms. Anxiety symptoms seemed to be an independent risk factor for future fear of falling and activity restrictions, while depressive symptoms were not. To prevent future fear of falling and activity restrictions, we should pay special attention to older individuals with anxiety symptoms. The online version contains supplementary material available at 10.1186/s12877-022-03406-8.
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影响因子：
6.6
作者：
Sjoberg, Linnea;Karlsson, Bjorn;Wang, Hui-Xin
通讯作者：
Wang, Hui-Xin
DOI：
10.1046/j.1532-5415.2002.50352.x
发表时间：
2002-08-01
影响因子：
6.3
作者：
Friedman, SM;Munoz, B;Fried, LP
通讯作者：
Fried, LP
影响因子：
7
作者：
Luo, Zhicheng;Li, Yuqian;Wang, Chongjian
通讯作者：
Wang, Chongjian
晚期普遍焦虑症的负担：对残疾，与健康相关的生活质量和医疗保健利用的影响。
DOI：
10.1097/jgp.0b013e31819b87b2
发表时间：
2009-06
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Porensky EK;Dew MA;Karp JF;Skidmore E;Rollman BL;Shear MK;Lenze EJ
通讯作者：
Lenze EJ
DOI：
10.1111/j.1532-5415.2007.01317.x
发表时间：
2007-10-01
影响因子：
6.3
作者：
Austin, Nicole;Devine, Amanda;Bruce, David
通讯作者：
Bruce, David