Anxiety symptoms and disorder predict activity limitations in the elderly

Norton, Joanna; Ancelin, Marie-Laure; Stewart, Robert; Berr, Claudine; Ritchie, Karen; Carrière, Isabelle

doi:10.1016/j.jad.2012.04.002

Cited by 42 publications

(43 citation statements)

References 32 publications

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“…Despite being a non-clinical sample recruited from community organisations, the majority of participants reported avoidance behaviours which could contribute to functional impairment and social isolation. This finding supported previous research that found older adults restrict their activity to familiar and non-demanding situations to avoid anxiety [25].…”

Section: Discussionsupporting

confidence: 91%

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Roberts¹,

Merrick²,

Fletcher³

et al. 2017

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Objectives: Anxiety is commonly reported as being experienced by older adult patients. However most of the theories on anxiety in older adults are developed from clinical measures rather than open-ended questionnaires. Consequently, little is known about the day to day experiences of anxiety in the lives of older adults, and the functional impairment that may result. Method:Community dwelling older adults (n = 135) were administered an open-ended questionnaire eliciting their experiences of anxiety using a cognitive behavioural framework. Directed content analysis was applied to discover the shared experiences of anxiety in older adults. Results: Although 64% of older adults reported avoidance behaviour that appeared anxiety driven, they generally denied experiencing anxiety themselves. Thought content and processes were idiosyncratic however commonalities were thinking positively (34%), problem solving (31%), rumination (31%) and difficulty concentrating (19%). A broad range of physical symptoms including those that may relate to medical conditions and depression were reported as resulting from anxiety, most commonly headaches (26%) and gastrointestinal disturbances (26%). Conclusion: Anxiety driven behaviours were common and appeared to negatively impact their quality of life through avoidance behaviours. Older adults may benefit from education to destigmatise the experiences of anxiety and improve reporting of functional impairment due to anxiety.

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Section: Discussionsupporting

confidence: 91%

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Roberts¹,

Merrick²,

Fletcher³

et al. 2017

OJN

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“…As condições crônicas desempenham papel importante na explicação da associação entre incapacidade funcional, restrição social, limitação em atividades instrumentais da vida diária, depressão e ansiedade 37 . Um maior número de morbidades em idosos está associado à pior qualidade de vida no domínio psicológico e pode contribuir para o advento de sentimentos negativos 38 .…”

Section: Variáveis/categoriasunclassified

“…Até 39% dos idosos que apresentam o transtorno têm uma condição de comorbidade psiquiátrica, principalmente do tipo ansioso. Os sintomas de ansiedade são particularmente incapacitantes com relação às atividades da vida diária e estão associados com pior status social e econômico e com condições médicas crônicas 37 .…”

Section: Variáveis/categoriasunclassified

Tipos de configuração familiar e condições de saúde física e psicológica em idosos

Rabelo

Néri

2015

Cad. Saúde Pública

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“…7 Esto puede acarrear dificultades para el diagnóstico, especialmente cuando se toma en consideración que, conforme al DSM-IV, el diagnóstico de TAG no se puede llevar a cabo en presencia de afecciones médicas. 2 Las alteraciones cognitivas primarias, asociadas a manifestaciones somáticas secundarias de la ansiedad, alteran la capacidad de trabajo, las relaciones interpersonales y las actividades placenteras. El TAG también aumenta el riesgo de padecer episodios depresivos, comorbilidades somáticas, uso de sustancias -como alcohol-y la automedicación.…”

Section: Introductionunclassified

“…2 Consulta Externa, Servicios Clínicos del INPRFM. 3 Servicio de Hospitalización y Atención Psiquiátrica Continua de la Subdirección de Servicios Clínicos del INPRFM.…”

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Calidad de vida y discapacidad en el trastorno de ansiedad generalizada

et al. 2014

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SUMMARY ObjectiveTo determine which clinical factors predict disability and poor quality of life in patients with generalized anxiety disorder. MethodologyThis was a descriptive cross-sectional study. Data were analyzed using frequencies, percentages, mean. A linear regression analysis was used to determine how demographic factors predict clinical disability and poor quality of life. ResultsWe found that the presence of a family history of anxiety disorders, as well as higher scores on the Hamilton Depression Scale, predict a lower quality of life; unlike an older age which predicts a higher quality of life in these patients. Higher levels of disability were associated with males, a younger age, comorbid Axis II disorders, the presence of a family history of anxiety disorders, and higher scores on the Hamilton Depression Scale. ConclusionsDepressive symptoms and a family history of anxiety are associated with a poor quality of life. Knowing which factors predict the quality of life and disability in patients may guide us towards a more comprehensive diagnosis and treatment approach. This means will not just treat symptoms, but will seek patients' functional recovery, which leads in turn to a better quality of life.Key words: Generalized anxiety disorder, quality of life, disability. RESUMEN ObjetivoDeterminar qué factores clínicos predicen la discapacidad y la mala calidad de vida en pacientes con trastorno de ansiedad generalizada. Material y métodosSe trató de un estudio descriptivo y transversal. Los datos se analizaron mediante frecuencias, porcentajes y promedios. Se utilizó un aná-lisis de regresión lineal para determinar cómo predicen los factores clínicos y demográficos la discapacidad y la mala calidad de vida. ResultadosEncontramos que la presencia de antecedentes heredofamiliares de trastornos de ansiedad, así como mayores puntajes en la Escala de Depresión de Hamilton, predicen una menor calidad de vida, a diferencia de una mayor edad, la cual predice una mayor calidad de vida en estos pacientes. Mayores niveles de discapacidad se asociaron con el sexo masculino, una menor edad de los pacientes, comorbilidad con trastornos del Eje II, presencia de antecedentes heredofamiliares de trastornos de ansiedad y mayores puntajes en la Escala de Depresión de Hamilton. ConclusionesLa sintomatología depresiva y los antecedentes familiares de ansiedad se asocian con una mala calidad de vida. Identificar estos factores en los pacientes podría guiar hacia un diagnóstico y tratamiento más integral y efectivo. Esto es, no sólo a tratar síntomas, sino a buscar una recuperación funcional y mejorar la calidad de vida del paciente.Palabras clave: Trastorno de ansiedad generalizada, calidad de vida, discapacidad.

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Anxiety symptoms and disorder predict activity limitations in the elderly

Abstract: Background: In the elderly, little attention has been paid to anxiety both on a symptom

Cited by 42 publications

References 32 publications

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Understanding the Experiences of Anxiety in Community Dwelling Older Adults—Understanding Anxiety in Older Adults

Tipos de configuração familiar e condições de saúde física e psicológica em idosos

Calidad de vida y discapacidad en el trastorno de ansiedad generalizada

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