Anxiety disorders and its risk factors among the Sichuan empty-nest older adults: A cross-sectional study
ABSTRACT OBJECTIVE: The goal of this study was to determine the prevalence and correlates of anxiety disorders among empty-nest older adults in Sichuan Province, China. METHODS: The study population consisted of 352 subjects over the age of 60 who completed the Self-Rating Anxiety Scale (SAS), the Geriatric Depression Scale-Short Form (GDS-SF), the University of California, Los Angeles, Loneliness Scale (UCLA-LS), and the Mini-Mental State Examination (MMSE) questionnaires. The socio-demographic information, information on the subjects' general health, and their level of concern about health problems were obtained from self-reports. RESULTS: In the study population, 30.11% of the empty-nest older adults showed anxiety-related symptoms or anxiety disorders, with a standardized score of 44.53±11.01. The levels of anxiety were significantly different in terms of the patients' gender, educational level, occupation, residence, marital status, and income, but not in terms of their age. Patient anxiety had a significantly positive association with depression and loneliness but had a significantly negative association with the MMSE scores. Multiple regression analysis revealed that patients with depression, loneliness, and cognitive impairment, as well as patients who were female, living in rural areas, or living alone were at risk for anxiety disorders. CONCLUSIONS: Anxiety prevails among the empty-nest older adults in Sichuan Province and is mainly associated with health-related characteristics. Physicians should give special attention to older adults with depression, loneliness, and cognitive impairments, especially to women who live alone in rural areas.
- SourceAvailable from: Helena Amaral Espirito Santo[Show abstract] [Hide abstract]
ABSTRACT: Our aim is to study the relationship between perceived social support, satisfaction with life, anxiety symptoms and depressive symptoms.European Psychiatry 01/2013; 28(Supl. 1):1. DOI:10.1016/S0924-9338(13)76565-9 · 3.21 Impact Factor
Conference Paper: Correlates of elderly loneliness[Show abstract] [Hide abstract]
ABSTRACT: In Portugal, the number of elderlies living alone and being institutionalized are rising. Institutionalized elderlies are susceptible to loneliness. Loneliness is associated with depression, anxiety, poor sleep quality, and cognitive decline. Determining which variables predict loneliness in institutionalized elderlies may allow appropriate targeting interventions in loneliness to potentially preserve mental and cognitive health. We want to explore the prevalence of loneliness in a sample of institutionalized elderly, and determining which variables predict loneliness. Loneliness was measured using UCLA loneliness scale. We also included a measure of socio-demographic aspects and health-related variables, the Mini-Mental State Examination, the Geriatric Depression Scale, the Geriatric Anxiety Inventory, the Satisfaction with Life Scale, and the Sleep Subjective Index for Elderly. Our sample included 539 elderly (60-100 years, mean age = 80.03 ± 7.38), mostly women (75.8%), widowed (60.3%), with primary basic education (39.5%), frequenting day care center (61.0%) or living in retirement home (39.0%). The prevalence of loneliness feelings was 68.2%. Loneliness was significantly related with more anxiety and depressive symptoms, poor sleep quality, and poor life satisfaction. Women and elderlies without partner had also more loneliness feelings. Loneliness was not associated with age, education, living alone/accompanied, number of social contacts, nor with cognitive performance or sensorial problems (low vision and poor hearing). After the multiple logistic regression of the significant variables, only satisfaction with live predicted loneliness (OR = 1.07, p = 0.05). In conclusion, satisfaction with live may affect feelings of loneliness. More studies with non-institutionalized are needed for appropriated targeting interventions.21st European Congress of Psychiatry; 04/2013
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ABSTRACT: Objectives.To examine the relationships between loneliness, social and health behaviors, health, and mortality among older adults in China.Method.Data came from a nationally representative sample of 14,072 adults aged 65 and older from the 2002, 2005, and 2008 waves of the Chinese Longitudinal Healthy Longevity Survey. A cross-lagged model combined with survival analysis was used to assess the relationships between loneliness, behavioral and health outcomes, and risk of mortality. About 28% of older Chinese adults reported feeling lonely, and lonely adults faced increased risks of dying over the subsequent years. Some of the effect was explained by social and health behaviors, but most of the effect was explained by health outcomes. Loneliness both affects and is affected by social activities, solitary leisure activities, physical exercise, emotional health, self-rated health, and functional limitations over a 3-year period.Discussion.Loneliness is part of a constellation of poor social, emotional, and health outcomes for Chinese older adults. Interventions to increase the social involvement of lonely individuals may improve well-being and lengthen life.The Journals of Gerontology Series B Psychological Sciences and Social Sciences 02/2014; 69(4). DOI:10.1093/geronb/gbu007 · 2.85 Impact Factor