노년기 신체질환이 불안의 발생에 미치는 전향적 연구
Prospective Analysis of the Incidence in Anxiety Affected by Physical Diseases in Late-Life
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Objectives：This study aimed to investigate the associations between physical diseases and prevalence, incidence and persistence of anxiety in a community dwelling old population aged 65 years or over. Methods：1,204 people aged 65 years or over were evaluated at baseline, and 909(75.4%) were followed two years later. Anxiety was identified at both evaluation points using the questions from the community version of the Geriatric Mental State Schedule together with diagnostic algorithm, the Automated Geriatric Examination for Computer Assisted Taxonomy. Reported physical diseases covering 11 common and generally chronic health problems were ascertained. Covariates including age, gender, education, living area, accommodation status, past occupation, current occupation, marital status and depression were entered into logistic regression analyses. Results：In multivariate analyses, prevalent anxiety was independently associated with 7 of 11 physical diseases (arthritis or rheumatism, eyesight problems, hearing difficulty, hypertension, heart disease, gastrointestinal problems, and unilateral paralysis or weakness) ; and incident anxiety was independently associated with 2 physical diseases(arthritis or rheumatism and heart disease). But persistent anxiety was not associated with any physical diseases. Prevalent and incident anxiety were significantly associated with increased number of physical diseases. Conclusions：Certain physical diseases were identified as risk and/or precipitating factors for anxiety in the elderly. Appropriate intervention and treatment of physical diseases might mitigate the morbidity of anxiety in late-life.
Abstract
Objectives：This study aimed to investigate the associations between physical diseases and prevalence, incidence and persistence of anxiety in a community dwelling old population aged 65 years or over. Methods：1,204 people aged 65 years or over were evaluated at baseline, and 909(75.4%) were followed two years later. Anxiety was identified at both evaluation points using the questions from the community version of the Geriatric Mental State Schedule together with diagnostic algorithm, the Automated Geriatric Examination for Computer Assisted Taxonomy. Reported physical diseases covering 11 common and generally chronic health problems were ascertained. Covariates including age, gender, education, living area, accommodation status, past occupation, current occupation, marital status and depression were entered into logistic regression analyses. Results：In multivariate analyses, prevalent anxiety was independently associated with 7 of 11 physical diseases (arthritis or rheumatism, eyesight problems, hearing difficulty, hypertension, heart disease, gastrointestinal problems, and unilateral paralysis or weakness) ; and incident anxiety was independently associated with 2 physical diseases(arthritis or rheumatism and heart disease). But persistent anxiety was not associated with any physical diseases. Prevalent and incident anxiety were significantly associated with increased number of physical diseases. Conclusions：Certain physical diseases were identified as risk and/or precipitating factors for anxiety in the elderly. Appropriate intervention and treatment of physical diseases might mitigate the morbidity of anxiety in late-life.
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