Anxiety and depression state and their influencing factors in housebound elderly subjects
10.3760/cma.j.issn.0254-9026.2017.10.015
- VernacularTitle:居家老年人的抑郁焦虑状况及影响因素分析
- Author:
Xueqing HAN
1
;
Shufang ZHANG
;
Yanbo ZHANG
;
Tianhong XU
;
Yajuan NIU
Author Information
1. 100730,首都医科大学附属北京同仁医院心理科
- Keywords:
Anxiety;
Depression;
Risk factors
- From:
Chinese Journal of Geriatrics
2017;36(10):1120-1124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the anxiety and depression state in housebound elderly subjects and their influencing factors so as to provide theoretical basis for improving the psychological status of the elderly.Methods Three hundred and fifty elderly patients aged ＞ 60 years suffering from anxiety and depression in two communities of Beijing were clusterly sampled and analyzed.The basic information of housebound elderly subjects with anxiety and depression was recorded during questionnaire survey.The influencing factors for anxiety and depression were explored by using the anxiety self-assessment scale and depression self-rating scale.Results Based on univariable analysis,the factors influencing anxiety and depression of the housebound elderly included ageing,lower cultural level,low income,infrequency of offspring visit and friends meeting,lost spouse,chronic diseases,many medications,and the unsatisfactory living environment(all P ＜ 0.05).However,the participating of entertainment activity and religious beliefs were not influencing factors(all P ＞ 0.05).Logistic multivariate regression showed that women (OR =1.432,95％CI:1.236 1.684,P＜0.05),low income(OR =2.078,95％ CI:1.675 2.412,P＜0.05),the widowed(OR =2.342,95 ％ CI:1.857-2.769,P ＜ 0.05),chronic diseases (OR =2.078,95 ％ CI:1.674-2.531,P＜0.05),medication (OR =3.056,95 ％ CI:2.678 3.756,P ＜ 0.05),less visit by children (OR =2.898,95％CI:2.475 3.425,P＜0.05),less friends visiting(OR=1.965,95％CI:1.685-2.446,P＜0.05) were risk factors for anxiety in the elderly.Meanwhile,women (OR =3.221,95 ％ CI:2.674-3.853,P ＜ 0.05),low income (OR =2.342,95 ％ CI:1.768-2.754,P ＜ 0.05),chronic disease (OR =2.078,95 ％ CI:1.564 2.675,P＜0.05),the widowed(OR=2.223,95％CI:1.789 2.746,P＜0.05),less visit by children (OR=2.987,95％CI:2.463-3.524,P＜0.05),less friends visiting(OR=2.658,95％CI:2.242 3.168,P＜0.05) and poor satisfaction with surrounding environment(OR =1.765,95 ％ CI:1.375 2.371,P＜0.05) were risk factors for depression among the elderly.Conclusions The elderly,especially those with advanced age,low cultural level,low economic income,living alone and poor living environment,are more likely to have anxiety and depression.Therefore,some effective corresponding measures should be taken in order to improve the psychological condition and life quality of old people.
