Anxiety and depression among nursing home residents without cognitive impairment
Anxiety and depression among nursing home residents without cognitive impairment
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DOI：
10.1111/j.1471-6712.2012.01095.x
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发表时间：
2013-12-01
影响因子：
1.9
通讯作者：
Ranhoff, Anette Hylen
中科院分区：
文献类型：
--
作者：
Drageset, Jorunn;Eide, Geir Egil;Ranhoff, Anette Hylen
背景对无认知障碍的疗养院居民中焦虑和抑郁症状及其与社会支持组成部分的关系很少进行研究。目的调查无认知障碍的疗养院居民中抑郁和焦虑及其组合的诊断和症状的患病率、抗抑郁药和抗焦虑药物的使用情况以及依恋、养育、价值保证和社会融入与焦虑和抑郁症状评分的关系。方法对227名65-102岁的居民进行横断面观察研究6个月；居住在30个疗养院。所有人的临床痴呆评分均为 0.5，并且可以交谈。面对面访谈中使用医院焦虑抑郁量表和社会供给量表。社会人口统计学变量、医疗诊断和药物信息是从医疗记录中获得的。使用皮尔逊卡方检验和序数逻辑回归来确定焦虑和抑郁与社会供给量表之间的关联。结果在病历中分别诊断出抑郁症状 (n = 72, 32%)、焦虑症状 (n = 33, 14%) 和两者兼而有之 (n = 22, 10%) 的居民数量是其两倍 (抑郁诊断, n = 40, 18%;焦虑, n=20, 9%;两者，n=12, 5%)。然而，接受抗抑郁和抗焦虑药物治疗的人数多于确诊人数。社会支持子维度、价值保证和社会融合与抑郁症状减轻相关。依恋与较少的焦虑相关。结论焦虑和抑郁症状很常见，但往往未被诊断出来。依恋与较少的焦虑和价值保证以及社会融入和较少的抑郁有关。护理人员应提供支持，以改善依恋、保证价值和社会融入，并密切观察没有认知障碍的居民的焦虑和抑郁症状。
BackgroundAnxiety and depression symptoms and their association with components of social support have been studied rarely among nursing home residents without cognitive impairment.AimTo investigate the prevalence of the diagnosis and symptoms of depression and anxiety and their combination, the use of antidepressant and anxiolytic drugs in nursing home residents without cognitive impairment and how attachment, nurturance, reassurance of worth and social integration are associated with anxiety and depression symptom scores.MethodA cross-sectional observation study of 227 residents 65-102years old with 6months'; residence in 30 nursing homes. All had a Clinical Dementia Rating 0.5 and could converse. The Hospital Anxiety and Depression Scale and Social Provision Scale were used in face-to-face interviews. Sociodemographic variables, medical diagnoses and drug information were obtained from medical records. Pearson's chi-squared test and ordinal logistic regression were used to identify associations between anxiety and depression and the Social Provision Scale.ResultsTwice as many residents had symptoms of depression (n=72, 32%), anxiety (n=33, 14%) and both (n=22, 10%) as the respective diagnoses in their medical records (depression diagnosis, n=40, 18%; anxiety, n=20, 9%; both, n=12, 5%). Nevertheless, more were treated with antidepressant and anxiolytic drugs than having the respective diagnosis. The social support subdimensions reassurance of worth and social integration were correlated with less depressive symptoms. Attachment was correlated with less anxiety.ConclusionAnxiety and depression symptoms were common and often not diagnosed. Attachment was associated with less anxiety and reassurance of worth and social integration with less depression. Nursing staff should give support to improve attachment, reassurance of worth and social integration and closely observe residents without cognitive impairment for symptoms of anxiety and depression.