Author(s): Forlani M, Morri M, Belvederi Murri M, Bernabei V, Moretti F,
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Abstract OBJECTIVE: Anxiety among community-dwelling older adults has not been studied sufficiently. The aims of this cross-sectional population-based study were to estimate the point prevalence of clinically relevant anxiety symptoms and to describe their socio-demographic and clinical features, with particular focus on the association with somatic illnesses. METHODS: Three-hundred-sixty-six non-demented older adults (mean age 83.7±6.2, range 74-99 years) from the Faenza Project (Northern Italy) were assessed using the Cambridge Mental Disorders of the Elderly Examination-Revised (CAMDEX-R) and the Geriatric Anxiety Inventory short form (GAI-sf). Multi-adjusted regression analyses were used to estimate Odds Ratio (OR) and 95\% Confidence Intervals (95\% CI). RESULTS: Clinically relevant anxiety symptoms occurred in one out of five participants (point prevalence 21.0\%) and were significantly associated with depression (OR 5.6 per rank; 95\% CI: 3.1-10.1), physical morbidity (OR 3.5 per illness; 95\% CI: 1.0-11.9) and female gender (OR 2.8; 95\% CI: 1.4-5.5). Further, there were significant associations with a consumption of alcohol exceeding 1 alcoholic unit/day. CONCLUSIONS: Anxiety symptoms are very common in older subjects, especially when medically ill. Depression and alcohol consumption often co-occur with late-life anxiety symptoms, thus requiring special attention in daily clinical practice.
This article was published in PLoS One
and referenced in Journal of Alzheimers Disease & Parkinsonism