Age-related characteristics of outpatients with anxiety disorders: the Leiden routine outcome monitoring study.

Autor: Schat A; a Department of Psychiatry , Leiden University Medical Center , Leiden , The Netherlands., van Noorden MS; a Department of Psychiatry , Leiden University Medical Center , Leiden , The Netherlands., van Amelsvoort T; b Department of Psychiatry , Maastricht University Medical Center , Maastricht , The Netherlands., Giltay EJ; a Department of Psychiatry , Leiden University Medical Center , Leiden , The Netherlands., van der Wee NJA; a Department of Psychiatry , Leiden University Medical Center , Leiden , The Netherlands., Noom MJ; c Department of Psychiatry , Zaans Medical Center , Zaandam , The Netherlands.; d Department of Child and Adolescent Psychiatry , Mental Health Center GGZ Eindhoven , Eindhoven , The Netherlands.; e Department of Child Development and Education , University of Amsterdam , Amsterdam , The Netherlands., Vermeiren RRJM; f Department of Child and Adolescent Psychiatry , Curium-Leiden University Medical Center , Leiden , The Netherlands., Zitman FG; a Department of Psychiatry , Leiden University Medical Center , Leiden , The Netherlands.
Jazyk: angličtina
Zdroj: International journal of psychiatry in clinical practice [Int J Psychiatry Clin Pract] 2017 Nov; Vol. 21 (4), pp. 307-313. Date of Electronic Publication: 2017 Jun 16.
DOI: 10.1080/13651501.2017.1324035
Abstrakt: Objective: It has been hypothesised that clinically important age-related differences between adults with anxiety disorders exist; this study aims to elucidate these differences.
Methods: We analysed data from 1950 outpatients diagnosed with DSM-IV-TR anxiety disorders treated at a Dutch hospital or affiliated mental healthcare centres. Three age-groups (young- (18-25; n = 435), mid- (26-40; n = 788) and older adult (41-65; n = 727)) were compared with regard to social demographic characteristics, diagnostic characteristics, anxiety symptom profile, general psychiatric symptom profile and generic health status, in addition, linear analyses were carried out with age as a continuous variable.
Results: Average age was 36.48 years (SD 11.71), 62.8% were female. Significant associations with age emerged for gender, employment, education level, living situation, observed depression, agoraphobia (AP), social phobia, aches and pains, inner tension, sleep, interpersonal sensitivity, observed hostility, physical functioning, role limitations due to physical problems, vitality and bodily pain in categorical and continuous analyses. Self reported hostility was only significant in group-wise comparisons; role limitations due to emotional problems were only significant in linear analyses (all at p < .001).
Conclusions: This study identified clinically relevant differences between younger and older adult outpatients with anxiety disorders. Clinicians should take these findings into account, as they may support treatment.
Databáze: MEDLINE
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