Multivariate Modeling of Anxiety and Depression in Community-Dwelling Elderly Persons

Colenda, Christopher C.; Smith, Stanley L.

doi:10.1097/00019442-199300140-00007

Cited by 19 publications

(8 citation statements)

References 22 publications

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“…As well, while our results are consistent with an adverse impact of anxiety symptoms on social function, unlike depression they were not associated with impairment in more basic life activities. This is in keeping with other evidence suggesting that anxiety may be less prominent or problematic in older persons, given the lower prevalence of diagnosable anxiety disorders compared with younger samples [21,22], and a reported inverse relationship between age and anxiety [23].…”

Section: Discussionsupporting

confidence: 90%

Anxiety and Functional Status in Older Primary Care Patients

Upadhyaya

Lyness

Cox

et al. 2000

Int J Psychiatry Med

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Section: Discussionsupporting

confidence: 90%

Anxiety and Functional Status in Older Primary Care Patients

Upadhyaya

Lyness

Cox

et al. 2000

Int J Psychiatry Med

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“…1996). In addition to language and psychosocial concerns, many studies have consistently reported that poor health of the elderly is considered the most serious stressor among the among this cohort of immigrants (Lee 1989, Colenda & Smith 1993).…”

Section: Review Of the Literaturementioning

confidence: 99%

The immigration experience among elderly Korean immigrants

Lee

2007

Psychiatric Ment Health Nurs

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The purpose of this preliminary, qualitative study was to describe elderly Korean immigrants' perception of stressors they experienced through immigration and the acculturation process. The methodology used was naturalistic inquiry, a descriptive approach used to elicit the elderly immigrants' own perception of their immigration and acculturation experiences. The six elderly Korean immigrants were interviewed via a semi-structured, open-ended interview guide. The main stressors identified by the subjects as a result of adjusting to life in the United States were language barriers, isolation and loneliness, fear of dependence upon their children, fear of being a burden, financial problems, transportation problems, discrimination, and fear of death. These Korean elders also perceived changes in the traditional family values of respect for elders and support for the aged. The results of this research help to provide an understanding of the immigration and acculturation experiences of elderly Korean immigrants.

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“…[98] Anxiety is also closely associated with physical health and functional disability in elderly patients. [21] [94] The association between pain and anxious mood has received far less empirical attention than the association between pain and depression. [92] Because of the close association between depression and anxiety among older adults, it is reasonable to expect that anxiety also is a strong concomitant of pain.…”

Section: Psychosocial and Functional Assessmentmentioning

confidence: 99%

Assessment and measurement of pain in older adults

Herr

Garand

2001

Clinics in Geriatric Medicine

342

251

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Although the empirical base is still limited when providing clear directions for pain assessment and management in older adults, it is possible to identify recommendations for guiding practice based on consensus and a developing scientific base to support best practice activities. This article offers a brief overview of the epidemiology and consequences of pain, followed by a summary of issues and approaches relevant to pain assessment in older adults. Cohort specific recommendations for comprehensive pain assessment and measurement are then addressed. Prevalence and Consequences of Pain in Older AdultsOlder individuals frequently suffer from both acute and chronic painful diseases, have multiple diseases, and take numerous pain medications, [2] although relatively little investigative or clinical attention has been paid to the assessment of pain in the geriatric population, compared with the general population. This is surprising because populationbased figures indicate that the prevalence of pain is twofold higher in those over age 60 (250 per thousand), compared with those under age 60 (125 per thousand). [24] [79] [108] Further, prevalence estimates suggest that approximately 60% of community-dwelling older adults and up to 80% of elderly long-term care facility residents experience substantial pain.[24] [79] [108] Because pain is often remediable, [2] [25] it is thought that the high prevalence estimates of unrelieved pain in elderly persons may result from underrecognition, which in turn results in undertreatment. [65] [91] [120] The consequences of untreated pain can profoundly impact the older person's quality of life. In addition to physiologic risks associated with untreated pain (e.g., cough suppression with subsequent retention of pulmonary secretions), depression, [58] [39] [90] Therefore, it is imperative that health care professionals' knowledge and skills related to pain assessment in older adults be improved, and aggressive approaches to comprehensive pain assessment be adopted, to ensure and improve the quality of life of our senior citizens. Approaches to Pain Assessment with Older Adults Clinical AssessmentIn the clinical setting, accurate assessment of pain is critical for the identification of appropriate interventions and for evaluating the effectiveness of such interventions. Patients should be assessed regularly for the presence of pain and for improvement, deterioration, or complications attributable to pain treatment.[2] The frequency of the follow-up should be a function of the severity of the pain and the potential for adverse effects of treatment. Documentation of pain assessment formalizes the pain assessment process and is essential in the provision of individualized care from both a legal and professional perspective. [17] Inherent in the assessment of pain among older adults is the understanding of its potentially remediable components. For example, if a patient has acute pain, assessment should focus on the underlying pathology responsible for the pain stimulus. If th...

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Multivariate Modeling of Anxiety and Depression in Community-Dwelling Elderly Persons

Cited by 19 publications

References 22 publications

Anxiety and Functional Status in Older Primary Care Patients

Anxiety and Functional Status in Older Primary Care Patients

The immigration experience among elderly Korean immigrants

Assessment and measurement of pain in older adults

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