The spectrum of worry in the community-dwelling elderly
The spectrum of worry in the community-dwelling elderly
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DOI：
10.1080/13607863.2011.583621
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发表时间：
2011-01-01
影响因子：
3.4
通讯作者：
Lawlor, Brian A.
中科院分区：
文献类型：
--
作者：
Golden, Jeannette;Conroy, Ronan M.;Lawlor, Brian A.
目的：在这项研究中，我们研究的流行和分布的担心，它的内容，以及它与生活质量和抑郁症的关联，基于一个大样本的社区居住的老年人。我们将尝试区分病理性和非病理性的担心基于这些协会。设计：社区调查。设置：内城人口。参与者：共2136人年龄在65和96，其中66%是妇女，被招募通过全科医生和采访在自己的家中。测量：GMS-AGECAT结构化精神病学访谈被用来评估症状，这些症状被分为五个级别的严重程度，从简单的，非过度的到广泛性焦虑障碍（GAD）。在这项研究中，79%的参与者报告担心，37%过度担心，20%报告过度，无法控制的担心，6.3%符合GAD标准。所有类型的担忧都随着年龄的增长而下降，男性的担忧程度更低。抑郁情绪的患病率在没有担心的人和那些没有严重担心的人中相似（Wald事后检验，p = 0.06），但随着每个严重担心水平的增加而显著上升（Wald事后检验，所有p < 0.05）。在那些不担心的人中没有重度抑郁症，在那些不严重担心的人中患病率仅为0.2%（p = 0.552，Fisher精确检验）。它在所有过度担忧水平上的患病率都显着升高，并且在GAD患者中的患病率显着更高。所有级别的过度担心与生活质量下降quality of life.Conclusion：严重的担心是非常普遍的老年人，最严重的worriers不符合标准的广泛性焦虑症，但有一个降低的生活质量和抑郁症的患病率增加。
Objectives: In this study, we examine the prevalence and distribution of worry, its content, and its associations with quality of life and depression, based on a large sample of community-dwelling elderly. We will attempt to distinguish between pathological and non-pathological worry based on these associations.Design: Community survey.Setting: Inner-city population.Participants: A total of 2136 people aged between 65 and 96, of whom 66% were women, were recruited through general practitioners and interviewed in their own homes.Measurements: The GMS-AGECAT structured psychiatric interview was used to rate symptoms which were classified into five levels of severity of worry ranging from simple, non-excessive to generalised anxiety disorder (GAD).Results: In this study, 79% of the participants reported worrying, 37% worrying excessively, while 20% reported excessive, uncontrollable worry and 6.3% met criteria for GAD. Prevalence of all types of worry declined with age and was lower in men. The prevalence of depressed mood was similar in those without worry and those with non-severe worry (Wald post hoc test, p = 0.06) but rose significantly with each level of severe worry (Wald post hoc tests, all p < 0.05). Major depressive disorder was absent in those who did not worry, and had a prevalence of only 0.2% in those with non-severe worry (p = 0.552, Fisher's exact test). It has a significantly elevated prevalence at all levels of excessive worry, and a significantly higher prevalence in those with GAD. All levels of excessive worry were associated with reduced quality of life.Conclusion: Severe worry is highly prevalent in the elderly; most severe worriers do not meet criteria for GAD, but have a reduced quality of life and an increased prevalence of depression.