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Anxiety and depression in the portuguese older adults: Prevalence and associated factors

2017Journal article Open access
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dc.contributor.authorSousa, Rute Dinis de
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorGregório, Maria João
dc.contributor.authorBranco, Jaime Da Cunha
dc.contributor.authorGouveia, Maria João
dc.contributor.authorCanhão, Helena
dc.contributor.authorDias, Sara Simões
dc.date.accessioned2019-03-01T19:30:12Z
dc.date.available2019-03-01T19:30:12Z
dc.date.issued2017
dc.description.abstractAnxiety 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFrontiers of Medicine, 4, 1-12 Doi: 10.3389/fmed.2017.00196pt_PT
dc.identifier.doi10.3389/fmed.2017.00196pt_PT
dc.identifier.issn20950225
dc.identifier.urihttp://hdl.handle.net/10400.12/6941
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHigher Education Presspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectOlderpt_PT
dc.subjectAnxietypt_PT
dc.subjectDepressionpt_PT
dc.subjectNon-communicable chronic diseasespt_PT
dc.subjectLifestylespt_PT
dc.subjectQuality of lifept_PT
dc.subjectFunctionpt_PT
dc.titleAnxiety and depression in the portuguese older adults: Prevalence and associated factorspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceChinapt_PT
oaire.citation.endPage12pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleFrontiers of Medicinept_PT
oaire.citation.volume4pt_PT
person.familyNameGregório
person.familyNameGouveia
person.familyNameCanhão
person.givenNameMaria João
person.givenNameMaria João
person.givenNameHelena
person.identifier379800
person.identifier.ciencia-idD51D-547F-9D62
person.identifier.ciencia-id801C-19EF-68A7
person.identifier.ciencia-id5A17-C6D9-DBC8
person.identifier.orcid0000-0002-0380-7833
person.identifier.orcid0000-0002-1197-050X
person.identifier.orcid0000-0003-1894-4870
person.identifier.ridO-7881-2015
person.identifier.ridC-9611-2018
person.identifier.scopus-author-id36504088600
person.identifier.scopus-author-id36521143700
person.identifier.scopus-author-id6602393492
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication251267de-7cc3-421f-85a5-e8c94041cd4b
relation.isAuthorOfPublication3415db9d-790d-4b3f-a239-a5cff2d6224d
relation.isAuthorOfPublication.latestForDiscovery3415db9d-790d-4b3f-a239-a5cff2d6224d

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