Physical and mental factors associated with concurrent anxiety and depression in the elderly
10.3760/cma.j.issn.0254-9026.2018.10.024
- VernacularTitle:老年人焦虑与抑郁情绪并发的身心因素分析
- Author:
Baobao ZHAO
1
;
Cancan JIN
Author Information
1. 100083,北京林业大学人文社会科学学院心理学系
- Keywords:
Anxiety;
Depression;
Risk factors
- From:
Chinese Journal of Geriatrics
2018;37(10):1156-1160
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics and influencing factors for concurrent anxiety and depression in geriatric patients.Methods A total of 1 318 older people aged over 60 from Beijing were investigated and divided into four groups:high anxiety with high depression,high anxiety with low depression,low anxiety with high depression,and low anxiety with low depression,based on results of Geriatric Depression Scale(GDS)and Geriatric Anxiety Inventory(GAI).Results Logistic regression analysis found that,compared with institution-dwelling elderly,home-dwelling patients were more prone to anxiety (βlow depression =1.66,P =0.01;βhigh depression =2.41,P =0.03),regardless of depression levels,but when anxiety levels were high,depression was easier to relieve in home-dwelling elderly than in their institution-dwelling counterparts(β=-1.50,P =0.01);Compared with patients with low anxiety and low depression,family support (β =-0.16,P =0.06) and friend support(β=-0.23,P =0.01)could reduce the incidence of high anxiety and high depression.Self-care abilities could predict the occurrence of high anxiety and high depression,rather than low anxiety and low depression,in the elderly (β=-1.81,P =0.01).Comorbidities(β=0.28,P =0.09)and neurological disorders were importan t risk factors for concurrent anxiety and depression.Conclusions In addition to physical health and self-care abilities,strong social support and quality elderly care (especially for neurological patients)can help reduce the incidence of concurrent anxiety and depression in elderly people.
