Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors
Anxiety and depression in the elderly individuals have been studied around the world, and some authors consider them among the most serious problems faced by modern societies. With recent economic crisis—very important in Southern European countries—isolation, loneliness, and exclusion of the active...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fmed.2017.00196/full |
| _version_ | 1828474593973633024 |
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| author | Rute Dinis de Sousa Rute Dinis de Sousa Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Maria João Gregório Maria João Gregório Maria João Gregório Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Maria João Gouveia Helena Canhão Helena Canhão Helena Canhão Helena Canhão Sara Simões Dias Sara Simões Dias Sara Simões Dias |
| author_facet | Rute Dinis de Sousa Rute Dinis de Sousa Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Maria João Gregório Maria João Gregório Maria João Gregório Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Maria João Gouveia Helena Canhão Helena Canhão Helena Canhão Helena Canhão Sara Simões Dias Sara Simões Dias Sara Simões Dias |
| author_sort | Rute Dinis de Sousa |
| collection | DOAJ |
| description | Anxiety and depression in the elderly individuals have been studied around the world, and some authors consider them among the most serious problems faced by modern societies. With recent economic crisis—very important in Southern European countries—isolation, loneliness, and exclusion of the active society, mental problems are probably raising and associated with distinct factors. In this cross-sectional analysis, nested in a longitudinal population-based cohort study, we analyze anxiety and depression prevalence, and their related factors, in a representative cohort of Portuguese seniors. We used data retrieved from second wave of follow-up of EpiDoC Cohort—EpiDoC 2 study, which is composed by 10,661 adults, representative of adult Portuguese population. This study included all ≥65 years old EpiDoC 2 study participants, who responded to Hospital Anxiety and Depression Scale (HADS), n = 1,680. Sociodemographic, lifestyles, self-reported non-communicable diseases, health-related quality of life (EQ-5D-3D), physical function (HAQ), and health resources consumption data were collected. Anxiety and depression were assessed with HADS. Anxiety and depression prevalence were estimated. Multivariable logistic regression was used to assess anxiety and depression score determinants. The estimated prevalence of anxiety among Portuguese elderly is 9.6% and depression is 11.8%. Seniors with anxiety and seniors with depression have a higher probability to self-report higher levels of physical disability (OR = 3.10; 96% CI 2.12–4.52; OR = 3.08, 95% CI 2.29–4.14, respectively) and lower levels of quality of life (OR = 0.03, 95% CI 0.01–0.09; OR = 0.03, 95% CI 0.01–0.06, respectively). Female gender (OR = 2.77, 95% CI 1.53–5.00), low educational level (OR = 2.30, 95% CI 1.22–4.36), allergic (OR = 2.02, 95% CI 1.14–3.55), and rheumatic disease (OR = 2.92, 95% CI 1.74–4.90) were significantly and independently associated with the presence of anxiety symptoms. Physical inactivity (OR = 1.64, 95% CI 1.11–2.42) and low educational level (OR = 2.40, 95% CI 1.41–4.09) were significantly and independently associated with depression symptoms. Subjects that reported to drink alcohol daily or occasionally were negatively associated with depression symptoms. Anxiety and depression are frequent among Portuguese elderly. These prevalence rates suggest that preventing mental illness in senior population is a crucial need. A well-designed prevention strategy might have an effective action in raising the well-being of elderly. |
| first_indexed | 2024-12-11T06:01:49Z |
| format | Article |
| id | doaj.art-a54c7a9a012f4e0db5a42086e4efca66 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-11T06:01:49Z |
| publishDate | 2017-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-a54c7a9a012f4e0db5a42086e4efca662022-12-22T01:18:26ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2017-11-01410.3389/fmed.2017.00196298096Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated FactorsRute Dinis de Sousa0Rute Dinis de Sousa1Ana Maria Rodrigues2Ana Maria Rodrigues3Ana Maria Rodrigues4Ana Maria Rodrigues5Maria João Gregório6Maria João Gregório7Maria João Gregório8Jaime Da Cunha Branco9Jaime Da Cunha Branco10Jaime Da Cunha Branco11Jaime Da Cunha Branco12Maria João Gouveia13Helena Canhão14Helena Canhão15Helena Canhão16Helena Canhão17Sara Simões Dias18Sara Simões Dias19Sara Simões Dias20Chronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalChronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisbon, PortugalRheumatology Research Unit, Instituto de Medicina Molecular, Lisbon, PortugalChronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalFaculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, PortugalChronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisbon, PortugalServiço de Reumatologia do Hospital Egas Moniz – Centro Hospitalar Lisboa Ocidental (CHLO-E.P.E.), Lisbon, PortugalPromoting Human Potential Research Group, ISPA – Instituto Universitário, Lisbon, PortugalChronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisbon, PortugalEscola Nacional de Saúde Publica, Universidade Nova de Lisboa, Lisbon, PortugalChronic Diseases Research Center (CEDOC), EpiDoC Unit, NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisbon, PortugalEpiSaúde – Associação Científica, Évora, PortugalEscola Superior de Saúde do Instituto Politécnico de Leiria, Leiria, PortugalAnxiety and depression in the elderly individuals have been studied around the world, and some authors consider them among the most serious problems faced by modern societies. With recent economic crisis—very important in Southern European countries—isolation, loneliness, and exclusion of the active society, mental problems are probably raising and associated with distinct factors. In this cross-sectional analysis, nested in a longitudinal population-based cohort study, we analyze anxiety and depression prevalence, and their related factors, in a representative cohort of Portuguese seniors. We used data retrieved from second wave of follow-up of EpiDoC Cohort—EpiDoC 2 study, which is composed by 10,661 adults, representative of adult Portuguese population. This study included all ≥65 years old EpiDoC 2 study participants, who responded to Hospital Anxiety and Depression Scale (HADS), n = 1,680. Sociodemographic, lifestyles, self-reported non-communicable diseases, health-related quality of life (EQ-5D-3D), physical function (HAQ), and health resources consumption data were collected. Anxiety and depression were assessed with HADS. Anxiety and depression prevalence were estimated. Multivariable logistic regression was used to assess anxiety and depression score determinants. The estimated prevalence of anxiety among Portuguese elderly is 9.6% and depression is 11.8%. Seniors with anxiety and seniors with depression have a higher probability to self-report higher levels of physical disability (OR = 3.10; 96% CI 2.12–4.52; OR = 3.08, 95% CI 2.29–4.14, respectively) and lower levels of quality of life (OR = 0.03, 95% CI 0.01–0.09; OR = 0.03, 95% CI 0.01–0.06, respectively). Female gender (OR = 2.77, 95% CI 1.53–5.00), low educational level (OR = 2.30, 95% CI 1.22–4.36), allergic (OR = 2.02, 95% CI 1.14–3.55), and rheumatic disease (OR = 2.92, 95% CI 1.74–4.90) were significantly and independently associated with the presence of anxiety symptoms. Physical inactivity (OR = 1.64, 95% CI 1.11–2.42) and low educational level (OR = 2.40, 95% CI 1.41–4.09) were significantly and independently associated with depression symptoms. Subjects that reported to drink alcohol daily or occasionally were negatively associated with depression symptoms. Anxiety and depression are frequent among Portuguese elderly. These prevalence rates suggest that preventing mental illness in senior population is a crucial need. A well-designed prevention strategy might have an effective action in raising the well-being of elderly.http://journal.frontiersin.org/article/10.3389/fmed.2017.00196/fullolderanxietydepressionnon-communicable chronic diseaseslifestylesquality of life |
| spellingShingle | Rute Dinis de Sousa Rute Dinis de Sousa Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Ana Maria Rodrigues Maria João Gregório Maria João Gregório Maria João Gregório Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Jaime Da Cunha Branco Maria João Gouveia Helena Canhão Helena Canhão Helena Canhão Helena Canhão Sara Simões Dias Sara Simões Dias Sara Simões Dias Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors Frontiers in Medicine older anxiety depression non-communicable chronic diseases lifestyles quality of life |
| title | Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors |
| title_full | Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors |
| title_fullStr | Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors |
| title_full_unstemmed | Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors |
| title_short | Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors |
| title_sort | anxiety and depression in the portuguese older adults prevalence and associated factors |
| topic | older anxiety depression non-communicable chronic diseases lifestyles quality of life |
| url | http://journal.frontiersin.org/article/10.3389/fmed.2017.00196/full |
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