Prevalence and correlates of anxiety among nursing home patients
ABSTRACT Very little is known about the prevalence and correlates of anxiety among nursing home patients. The current knowledge is predominantly based on information from population-based studies among elderly.
Prevalence of anxiety was measured with the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) in a sample of 333 nursing home patients of somatic wards of 14 nursing homes in the Netherlands. Participants were over 55 years, had a MMSE-score >14 and were able to communicate sufficiently. Information about demographic, health-related, psychosocial and care-related characteristics was collected in interviews with participants and from attending physicians and nursing home staff.
The prevalence of anxiety disorders was 5.7%, of subthreshold anxiety disorders 4.2% and of anxiety symptoms 29.7%. Only health-related characteristics (MMSE-score >23, depression, stroke) were significantly associated with anxiety disorders and subthreshold anxiety disorders. Demographic (>6 years education), health-related (depression, impaired vision, pain) and psychosocial characteristics (a recent negative life event) were significantly associated with anxiety symptoms. No care-related characteristics were associated with anxiety.
The study population is a selective one (>55 years, MMSE >15, able to communicate sufficiently). The data were collected cross-sectionally.
Anxiety disorders and anxiety symptoms occur frequently among nursing home patients and are mainly associated with health-related characteristics. Physicians should focus special attention on patients with depression or stroke.
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ABSTRACT: To develop an instrument for measuring thriving among residents in long-term care facilities, to assess the correspondence between proxy ratings and self-report and the internal consistency of the Norwegian version. The instrument was developed from the life-world concept of thriving and thereby has a different theoretical basis than existing 'dementia related' quality-of-life instruments. Thriving relates the experience of older persons to the place where they live. Proxy instruments need to be developed for residents in long-term care facilities who are not able to report their subjective experiences. Instrument development using cross-sectional survey design. The instrument was developed in three versions (resident, family and staff) from a theory on thriving. Forty-eight triads consisting of a resident, family member and primary nurse from 12 Norwegian nursing homes participated. Data collection took place between March-December 2011. Inter-rater agreement between the groups was assessed by Cohen's kappa coefficient (weighted). Internal consistency was evaluated by Cronbach's alpha. Homogeneity was explored through item-total correlations. Agreement between residents, family members and staff was poor or fair (<0·41) in six of 38 items. These items were excluded. The 32-items instrument had satisfactory Cronbach's alpha values in each of the three samples and satisfactory homogeneity as item-total correlations was substantial without being excessive and thus indicated that items were measuring the same construct. The instrument appears to have internal consistency and enable reliable proxy measures of the thriving construct. Further psychometric assessment including checking for possible item redundancy is needed.Journal of Advanced Nursing 12/2013; 70(7). DOI:10.1111/jan.12332 · 1.69 Impact Factor
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ABSTRACT: Background and Objective: Injury with contaminated sharp devices like needles has the great potential occupational risk factor in health care workers (HCWs). Aim of this study was to evaluate trait anxiety level between exposed and non-exposed HCWs to needle stick. Methodology: This present case-control study was performed on 48 exposed (case) and 48 non-exposed (control) HCWs. The self-reporting of trait anxiety in HCWs was determined by State-Trait Anxiety Inventory (STAI) Cases group were exposed to needle stick one month ago and control group were not exposed to needle stick since last two year ago. Result: Independent t-test showed that mean scores of trait anxiety between two groups (exposed and non-exposed health care workers to needle stick) did not have a significant difference. But trait anxiety level was higher in case group compared to control group. Independent t-test also revealed that control group had a more experience than case group significantly (p<0.001). Conclusion: Base on these results one can conclude that trait anxiety level is equal between exposed and non-exposed to needle stick HCWs. It seemed that trait anxiety as a psychological factor had not effective parameter on exposure to needle stick in the case group.02/2013; 29(1(Suppl)). DOI:10.12669/pjms.291(Suppl).3532
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ABSTRACT: Background: Depression and anxiety are particularly common among individuals living in long-term care facilities. Therefore, access to a valid and reliable measure of anxiety and depression among nursing home patients is highly warranted. Aim: To investigate the dimensionality, reliability and construct validity of the Hospital Anxiety and Depression scale (HADS) in a cognitively intact nursing home population. Methods: Cross-sectional data were collected from two samples; 429 cognitively intact nursing home patients participated, representing 74 different Norwegian nursing homes. Confirmative factor analyses and correlations with selected construct were used. Results: The two-factor model provided a good fit in Sample1, revealing a poorer fit in Sample2. Good-acceptable measurement reliability was demonstrated, and construct validity was supported. Limitations: Using listwise deletion the sample sizes were 227 and 187, for Sample1 and Sample2, respectively. Greater sample sizes would have strengthen the statistical power in the tests. The researchers visited the participants to help fill in the questionnaires; this might have introduced some bias into the respondents’ reporting. The 14 HADS items were part of greater questionnaires. Thus, frail, older NH patients might have tired during the interview causing a possible bias. Conclusion: Low reliability for depression was disclosed, mainly resulting from three items appearing to be inappropriate indicators for depression in this population. Further research is needed exploring which items might perform as more reliably indicators for depression among nursing home patients. Keywords: confirmatory factor analysis; construct validity; dimensionality; depression; HADS; nursing home; reliabilityJournal of Affective Disorders 08/2014; 165:8-15. DOI:10.1016/j.jad.2014.04.042 · 3.71 Impact Factor