Co-occurrence of anxiety and depression amongst older adults in low- and middle-income countries: findings from the 10/66 study
| Autor: | Cleusa P. Ferri, Carol Brayne, Martin Prince, A.M. Prina, Mariella Guerra |
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| Rok vydání: | 2011 |
| Předmět: |
Male
Rural Population SYMPTOMS Urban Population geriatric assessment Cross-sectional study Comorbidity Anxiety NATIONAL-COMORBIDITY-SURVEY Epidemiology anxiety disorder Applied Psychology Depression (differential diagnoses) article EURO-D SCALE Anxiety Disorders Psychiatry and Mental health statistics depression PSYCHIATRY epidemiology Female medicine.symptom medicine.medical_specialty China DISORDERS Developing country India GERIATRIC MENTAL STATE DIAGNOSIS South and Central America Interviews as Topic LATER LIFE PEOPLE medicine cross-sectional study Humans Sex Distribution co-morbidity Psychiatry Developing Countries Geriatric Assessment old age Aged Depressive Disorder business.industry DISABILITY developing country interview sex ratio medicine.disease Mental health Cross-Sectional Studies Latin America National Comorbidity Survey purl.org/pe-repo/ocde/ford#3.01.00 [https] business |
| Zdroj: | Prina, M, Ferri, C P, Guerra, M, Brayne, C & Prince, M 2011, ' Co-occurrence of anxiety and depression amongst older adults in low-and middle-income countries: findings from the 10/66 study ', Psychological Medicine, vol. 41, no. 10, N/A, pp. 2047-2056 . https://doi.org/10.1017/S0033291711000444 |
| ISSN: | 1469-8978 0033-2917 |
| Popis: | BackgroundThere is relative little information about the prevalence and risk factors of co-morbid anxiety and depression in later life. These disorders are often associated with worse response to treatment than either condition alone, and researching their epidemiology in diverse settings is vital to policy makers. We therefore investigated the co-occurrence of anxiety and depressive syndromes amongst older adults living in developing countries and measured the separate and joint effect of these two disorders on levels of associated disability.MethodThe 10/66 study carried out cross-cultural surveys of all residents aged 65 years or over (n=15021) in 11 sites in seven countries (People's Republic of China, India, Cuba, Dominican Republic, Venezuela, Mexico and Peru). Anxiety was measured by using the Geriatric Mental State Examination and the Automated Geriatric Examination for Computer Assisted Taxonomy diagnostic system. Depression was assessed according to International Classification of Diseases 10th revision (ICD-10) and EURO-D criteria. Disability was measured by using the World Health Organization's Disablement Assessment Scale Version II. Zero-inflated negative binomial regression models were used to investigate the association of common mental disorders and disability.ResultsThe prevalence of co-occurring anxiety and depression (with the exclusion of subthreshold disorders) ranged between 0.9% and 4.2% across sites. Gender, socio-economic status, urbanicity and physical co-morbidities were associated with the different co-morbid states. Having both disorders was linked to higher disability scores than having anxiety or depression alone.ConclusionsGiven the close association of co-morbid anxiety and depression with disability, new policies to improve prevention, recognition and treatment will be needed to adapt to ageing populations and their mental health needs. |
| Databáze: | OpenAIRE |
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