دوره 21، شماره 2 - ( 3-1403 )
جلد 21 شماره 2 صفحات 28-22 |
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Delbari A, Jenabi Ghods M, Saatchi M, Bidkhori M, Tabatabaei F, Foroughan M et al . Prevalence of depression, anxiety, and the related factors in over 50 years adults: Findings from Ardakan cohort study on aging. J Res Dev Nurs Midw 2024; 21 (2) :22-28
URL: http://nmj.goums.ac.ir/article-1-1603-fa.html
URL: http://nmj.goums.ac.ir/article-1-1603-fa.html
Prevalence of depression, anxiety, and the related factors in over 50 years adults: Findings from Ardakan cohort study on aging. Journal of Research Development in Nursing and Midwifery. 1403; 21 (2) :22-28
چکیده: (797 مشاهده)
Background: Depression and anxiety are the most frequent and devastating mental diseases among older adults. Several variables are identified as contributing to the development of these illnesses. The present study was conducted to investigate the prevalence of depression, anxiety, and their related factors in older individuals residing in Ardakan.
Methods: The current cross-sectional study was based on the data obtained from the first phase of the Ardakan aging cohort of 5176 older adults. Depression and anxiety were evaluated using CESD-10 and HADS-A scales, respectively. Moreover, the relationships between these outcomes and the related factors were evaluated using the logistic and linear regression.
Results: The prevalence of depression and anxiety was estimated to be about 17% and12%, respectively. Poor perception of health) OR=2.29, CI95% 1.79 to 2.93), Low perceived economic status (OR=2.11, CI95% 1.71 to 2.60), Receiving care (OR=1.66, CI95% 1.39 to 1.97), affecting by neurological disease (OR=1.37, CI95% 1.11 to 1.69), Gastrointestinal diseases (OR=1.48, CI95% 1.23 to 1.77) were significantly associated with the presence of depression. Female gender, Poor perception of health and economic status, receiving, and providing care, and suffering from neurological, cardiovascular, gastrointestinal, and respiratory diseases were related to higher anxiety scores.
Conclusion: The prevalence of depression and anxiety among the participants was relatively significant, and these variables were significantly correlated with several factors, including health and economic status and receiving/providing care. These findings highlight the significance of taking into account several socio-economic, health-related, and gender-specific aspects when dealing with mental health disorders including depression and anxiety in this particular age demographic. By identifying the risk factors, healthcare professionals can better target interventions and support systems to manage and mitigate the effect of these mental health disorders.
Methods: The current cross-sectional study was based on the data obtained from the first phase of the Ardakan aging cohort of 5176 older adults. Depression and anxiety were evaluated using CESD-10 and HADS-A scales, respectively. Moreover, the relationships between these outcomes and the related factors were evaluated using the logistic and linear regression.
Results: The prevalence of depression and anxiety was estimated to be about 17% and12%, respectively. Poor perception of health) OR=2.29, CI95% 1.79 to 2.93), Low perceived economic status (OR=2.11, CI95% 1.71 to 2.60), Receiving care (OR=1.66, CI95% 1.39 to 1.97), affecting by neurological disease (OR=1.37, CI95% 1.11 to 1.69), Gastrointestinal diseases (OR=1.48, CI95% 1.23 to 1.77) were significantly associated with the presence of depression. Female gender, Poor perception of health and economic status, receiving, and providing care, and suffering from neurological, cardiovascular, gastrointestinal, and respiratory diseases were related to higher anxiety scores.
Conclusion: The prevalence of depression and anxiety among the participants was relatively significant, and these variables were significantly correlated with several factors, including health and economic status and receiving/providing care. These findings highlight the significance of taking into account several socio-economic, health-related, and gender-specific aspects when dealing with mental health disorders including depression and anxiety in this particular age demographic. By identifying the risk factors, healthcare professionals can better target interventions and support systems to manage and mitigate the effect of these mental health disorders.
فهرست منابع
1. Ogura S, Jakovljevic MM. Global population aging-health care, social and economic consequences. Frontiers in public health. 2018;6:335. [DOI:10.3389/fpubh.2018.00335] [PMID] []
2. Mahmoudinia N. Predict the increase of Iran's elderly population to 19 million by 2041. 2022 [Available from: isna.ir/xdMqYg.
3. Durak M, Karakose S, Yow WQ. Editorial: Late-life psychopathology. Frontiers in Psychology. 2023;14. [DOI:10.3389/fpsyg.2023.1204202] [PMID] []
4. Petrova N, Khvostikova D. Prevalence, structure, and risk factors for mental disorders in older people. Advances in Gerontology. 2021;11:409-15. [DOI:10.1134/S2079057021040093] []
5. Babazadeh T, Sarkhoshi R, Bahadori F, Moradi F, Shariat F. Prevalence of depression, anxiety and stress disorders in elderly people residing in Khoy, Iran (2014-2015). Journal of Research in Clinical Medicine. 2016;4(2):122-8. [DOI:10.15171/jarcm.2016.020]
6. Isfahani P, Afshin M, Mohammadi F, Arefnezhad M. Prevalence of depression among Iranian elderly: A Systematic review and Meta-analysis. Journal of Gerontology. 2021;5(3):66-77.
7. Zenebe Y, Akele B, Necho M. Prevalence and determinants of depression among old age: a systematic review and meta-analysis. Annals of General Psychiatry. 2021;20(1):1-19. [DOI:10.1186/s12991-021-00375-x] [PMID] []
8. American Psychiatric Association A. Diagnostic and statistical manual of mental disorders: American psychiatric association Washington, DC; 1980.
9. Li N, Chen G, Zeng P, Pang J, Gong H, Han Y, et al. Prevalence of depression and its associated factors among Chinese elderly people: A comparison study between community-based population and hospitalized population. Psychiatry research. 2016;243:87-91. [DOI:10.1016/j.psychres.2016.05.030] [PMID]
10. Ashe S, Routray D. Prevalence, associated risk factors of depression and mental health needs among geriatric population of an urban slum, Cuttack, Odisha. International Journal of Geriatric Psychiatry. 2019;34(12):1799-807. [DOI:10.1002/gps.5195] [PMID]
11. Vink D, Aartsen MJ, Comijs HC, Heymans MW, Penninx BWJH, Stek ML, et al. Onset of Anxiety and Depression in the Aging Population: Comparison of Risk Factors in a 9-Year Prospective Study. The American Journal of Geriatric Psychiatry. 2009;17(8):642-52. [DOI:10.1097/JGP.0b013e3181a65228] [PMID]
12. Khan P, Qayyum N, Malik F, Khan T, Khan M, Tahir A. Incidence of Anxiety and Depression Among Patients with Type 2 Diabetes and the Predicting Factors. Cureus. 2019;11(3):e4254. [DOI:10.7759/cureus.4254]
13. Azizabadi Z, Aminisani N, Emamian MH. Socioeconomic inequality in depression and anxiety and its determinants in Iranian older adults. BMC psychiatry. 2022;22(1):1-9. [DOI:10.1186/s12888-022-04433-w] [PMID] []
14. Pilania M, Yadav V, Bairwa M, Behera P, Gupta SD, Khurana H, et al. Prevalence of depression among the elderly (60 years and above) population in India, 1997-2016: a systematic review and meta-analysis. BMC public health. 2019;19:1-18. [DOI:10.1186/s12889-019-7136-z] [PMID] []
15. Wang J, Wu X, Lai W, Long E, Zhang X, Li W, et al. Prevalence of depression and depressive symptoms among outpatients: a systematic review and meta-analysis. BMJ open. 2017;7(8):e017173. [DOI:10.1136/bmjopen-2017-017173] [PMID] []
16. Saeidimehr S, Geravandi S, Izadmehr A, Mohammadi MJ. Relationship between the "Quality of Life" and symptoms of depression among older adults. Iranian Journal of Ageing. 2016;11(1):90-9. [DOI:10.21859/sija-110190]
17. Luo F, Guo L, Thapa A, Yu B. Social isolation and depression onset among middle-aged and older adults in China: Moderating effects of education and gender differences. Journal of Affective Disorders. 2021;283:71-6. [DOI:10.1016/j.jad.2021.01.022] [PMID]
18. Sousa RDd, Rodrigues AM, Gregório MJ, Branco JDC, Gouveia MJ, Canhão H, et al. Anxiety and Depression in the Portuguese Older Adults: Prevalence and Associated Factors. Frontiers in Medicine. 2017;4. [DOI:10.3389/fmed.2017.00196] [PMID] []
19. Donovan NJ, Locascio JJ, Marshall GA, Gatchel J, Hanseeuw BJ, Rentz DM, et al. Longitudinal association of amyloid beta and anxious-depressive symptoms in cognitively normal older adults. American Journal of Psychiatry. 2018;175(6):530-7. [DOI:10.1176/appi.ajp.2017.17040442] [PMID] []
20. Porensky EK, Dew MA, Karp JF, Skidmore E, Rollman BL, Shear MK, et al. The burden of late-life generalized anxiety disorder: effects on disability, health-related quality of life, and healthcare utilization. The American Journal of Geriatric Psychiatry. 2009;17(6):473-82. [DOI:10.1097/JGP.0b013e31819b87b2] [PMID] []
21. Organization WH. Depression and other common mental disorders: global health estimates. World Health Organization; 2017.
22. Collaborators GMD. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry. 2022;9(2):137-50. [DOI:10.1016/S2215-0366(21)00395-3] [PMID]
23. Cuoco S, Scannapieco S, Carotenuto I, Picillo M, Pellecchia MT, Barone P, et al. Higher Health Service Costs Associated With Delayed Diagnosis of Functional Neurological Disorder. The Journal of neuropsychiatry and clinical neurosciences. 2023;35(1):86-91. [DOI:10.1176/appi.neuropsych.21110288] [PMID]
24. Turana Y, Tengkawan J, Chia YC, Shin J, Chen C-H, Park S, et al. Mental health problems and hypertension in the elderly: Review from the HOPE Asia Network. The Journal of Clinical Hypertension. 2021;23(3):504-12. [DOI:10.1111/jch.14121] [PMID] []
25. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: Evaluation of a short form of the CES-D. American journal of preventive medicine. 1994;10(2):77-84. [DOI:10.1016/S0749-3797(18)30622-6] [PMID]
26. Boey KW. Cross‐validation of a short form of the CES‐D in Chinese elderly. International journal of geriatric psychiatry. 1999;14(8):608-17.
https://doi.org/10.1002/(SICI)1099-1166(199908)14:8<608::AID-GPS991>3.0.CO;2-Z [DOI:10.1002/(SICI)1099-1166(199908)14:83.0.CO;2-Z]
27. Qian J, Li N, Ren X. Obesity and depressive symptoms among Chinese people aged 45 and over. Scientific reports. 2017;7(1):1-7. [DOI:10.1038/srep45637] [PMID] []
28. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica scandinavica. 1983;67(6):361-70. [DOI:10.1111/j.1600-0447.1983.tb09716.x] [PMID]
29. Djukanovic I, Carlsson J, Årestedt K. Is the Hospital Anxiety and Depression Scale (HADS) a valid measure in a general population 65-80 years old? A psychometric evaluation study. Health and quality of life outcomes. 2017;15(1):1-10. [DOI:10.1186/s12955-017-0759-9] [PMID] []
30. Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health and quality of life outcomes. 2003;1(1):1-5.
https://doi.org/10.1186/1477-7525-1-1
https://doi.org/10.1186/1477-7525-1-66
https://doi.org/10.1186/1477-7525-1-14 [DOI:10.1186/1477-7525-1-19] [PMID] []
31. Rashedi V, Foroughan M, Delbari A, Nazari H. Psychometric properties of Hospital Anxiety and Depression Scale (HADS) in Iranian older adults. 12th International Congress of the European :union: Geriatric Medicine; Portugal. 2016.
32. Creighton AS, Davison TE, Kissane DW. The correlates of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review. International Journal of Geriatric Psychiatry. 2017;32(2):141-54. [DOI:10.1002/gps.4604] [PMID]
33. Ibrahim AA, AI-Lami F, Al-Rudainy R, Khader YS. Mental Disorders Among Elderly People in Baghdad, Iraq, 2017. The Journal of Health Care Organization, Provision, and Financing. 2019;56(January-December):1-8. [DOI:10.1177/0046958019845960] [PMID] []
34. Khan A, Toor R, Amjad Q. Assessment and Management of Geriatric Care in Pakistan. Journal of Gerontology & Geriatric Research. 2018;07. [DOI:10.4172/2167-7182.1000488]
35. Ciuffreda G, Cabanillas-Barea S, Carrasco-Uribarren A, Albarova-Corral MI, Argüello-Espinosa MI, Marcén-Román Y. Factors Associated with Depression and Anxiety in Adults ≥60 Years Old during the COVID-19 Pandemic: A Systematic Review. International journal of environmental research and public health. 2021;18(22):1-17. [DOI:10.3390/ijerph182211859] [PMID] []
36. Ghaderi S, Sahaf R, Mohammadi Shahbalaghi F, Ansari G, Gharanjic A, Ashrafi K, et al. Prevalence of depression in elderly Kurdish community residing in Boukan, Iran. Iranian Journal of Ageing. 2012;7(1):57-66.
37. Gulati N, Nanda C, Hora RK. COVID-19 and its impact on mental health as a function of gender, age, and income. Discover mental health. 2023;3(1):4. [DOI:10.1007/s44192-022-00025-y] [PMID] []
38. Hantsoo L, Epperson CN. Anxiety disorders among women: a female lifespan approach. Focus. 2017;15(2):162-72. [DOI:10.1176/appi.focus.20160042] [PMID] []
39. Bromberger JT, Kravitz HM, Chang Y, Randolph Jr JF, Avis NE, Gold EB, et al. Does risk for anxiety increase during the menopausal transition? Study of Women's Health Across the Nation (SWAN). Menopause. 2013;20(5):488-95. [DOI:10.1097/gme.0b013e3182730599] [PMID] []
40. Loayza LS. Subjective well-being, health status, functional capacity and social participation in Chilean older people. Revista medica de Chile. 2022;150(8):1010-7. [DOI:10.4067/S0034-98872022000801010] [PMID]
41. Narsavage GL, Chen KY. Factors related to depressed mood in adults with chronic obstructive pulmonary disease after hospitalization. Home healthcare nurse. 2008;26(8):474-82. [DOI:10.1097/01.NHH.0000335606.45977.06] [PMID] []
42. Ranzijn R, Luszcz M. Acceptance: A key to wellbeing in older adults? Australian Psychologist. 1999;34(2):94-8. [DOI:10.1080/00050069908257435]
43. Committee ADAPP. 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2021;45(Supplement_1):S60-S82. [DOI:10.2337/dc22-S005] [PMID]
44. Chou K-L, Chi I. Successful aging among the young-old, old-old, and oldest-old Chinese. The International Journal of Aging and Human Development. 2002;54(1):1-14. [DOI:10.2190/9K7T-6KXM-C0C6-3D64] [PMID]
45. Depp CA, Jeste DV. Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. The American Journal of Geriatric Psychiatry. 2006;14(1):6-20. [DOI:10.1097/01.JGP.0000192501.03069.bc] [PMID]
46. Muhammad T, Srivastava S, Sekher TV. Association of self-perceived income status with psychological distress and subjective well-being: a cross-sectional study among older adults in India. BMC Psychology. 2021;9(1):82. [DOI:10.1186/s40359-021-00588-5] [PMID] []
47. Bakhtiyari M, Emaminaeini M, Hatami H, Khodakarim S, Sahaf R. Depression and perceived social support in the elderly. Iranian Journal of Ageing. 2017;12(2):192-207. [DOI:10.21859/sija-1202192]
48. Balsamo M, Cataldi F, Carlucci L, Fairfield B. Assessment of anxiety in older adults: a review of self-report measures. Clinical Interventions in Aging. 2018;13:573-93. [DOI:10.2147/CIA.S114100] [PMID] []
49. Domènech-Abella J, Mundó J, Leonardi M, Chatterji S, Tobiasz-Adamczyk B, Koskinen S, et al. The association between socioeconomic status and depression among older adults in Finland, Poland and Spain: A comparative cross-sectional study of distinct measures and pathways. Journal of affective disorders. 2018;241:311-8. [DOI:10.1016/j.jad.2018.08.077] [PMID]
50. Kovacevic J, Miskulin M, Degmecic D, Vcev A, Leovic D, Sisljagic V, et al. Predictors of Mental Health Outcomes in Road Traffic Accident Survivors. Journal of Clinical Medicine. 2020;9(2):309. [DOI:10.3390/jcm9020309] [PMID] []
51. Yu J, Choe K, Kang Y. Anxiety of Older Persons Living Alone in the Community. Healthcare. 2020;8(3):287. [DOI:10.3390/healthcare8030287] [PMID] []
52. Stordal E, Bjelland I, Dahl AA, Mykletun A. Anxiety and depression in individuals with somatic health problems. The Nord-Trøndelag Health Study (HUNT). Scandinavian journal of primary health care. 2003;21(3):136-41. [DOI:10.1080/02813430310002030] [PMID]
53. Cui S-S, Du J-J, Fu R, Lin Y-Q, Huang P, He Y-C, et al. Prevalence and risk factors for depression and anxiety in Chinese patients with Parkinson disease. BMC Geriatrics. 2017;17(1):270. [DOI:10.1186/s12877-017-0666-2] [PMID] []
54. Ismail Z, Gatchel J, Bateman DR, Barcelos-Ferreira R, Cantillon M, Jaeger J, et al. Affective and emotional dysregulation as pre-dementia risk markers: exploring the mild behavioral impairment symptoms of depression, anxiety, irritability, and euphoria. International psychogeriatrics. 2018;30(2):185-96. [DOI:10.1017/S1041610217001880] [PMID]
55. Alexopoulos GS, Bruce ML, Silbersweig D, Kalayam B, Stern E. Vascular depression: a new view of late-onset depression. Dialogues in Clinical Neuroscience. 1999;1(2):68-80. [DOI:10.31887/DCNS.1999.1.2/galexopoulos] [PMID] []
56. Forejtová Z, Serranová T, Sieger T, Slovák M, Nováková L, Věchetová G, et al. The complex syndrome of functional neurological disorder. Psychological Medicine. 2023;53(7):3157-67. [DOI:10.1017/S0033291721005225] [PMID]
57. Dumic I, Nordin T, Jecmenica M, Stojkovic Lalosevic M, Milosavljevic T, Milovanovic T. Gastrointestinal tract disorders in older age. Canadian Journal of Gastroenterology and Hepatology. 2019;2019:1-19. [DOI:10.1155/2019/6757524] [PMID] []
58. Cantarero-Prieto D, Moreno-Mencia P. The effects of gastrointestinal disturbances on the onset of depression and anxiety. PLOS ONE. 2022;17(1):1-12. [DOI:10.1371/journal.pone.0262712] [PMID] []
59. Ganda Mall J-P, Östlund-Lagerström L, Lindqvist CM, Algilani S, Rasoal D, Repsilber D, et al. Are self-reported gastrointestinal symptoms among older adults associated with increased intestinal permeability and psychological distress? BMC geriatrics. 2018;18(1):1-9. [DOI:10.1186/s12877-018-0767-6] [PMID] []
60. Laudisio A, Antonelli Incalzi R, Gemma A, Giovannini S, Lo Monaco MR, Vetrano DL, et al. Use of proton-pump inhibitors is associated with depression: a population-based study. International Psychogeriatrics. 2018;30(1):153-9. [DOI:10.1017/S1041610217001715] [PMID]
61. Varghese ML, Sharma MT, Srinivasan M. Assessment and Comparison of Cognitive Function and Depression level among patients with Chronic Liver Disease and Healthy Controls. Journal of Nursing and Health Science. 2020;9(4):01-9.
62. Smith RC, Greenbaum DS, Vancouver JB, Henry RC, Reinhart MA, Greenbaum RB, et al. Psychosocial factors are associated with health care seeking rather than diagnosis in irritable bowel syndrome. Gastroenterology. 1990;98(2):293-301. [DOI:10.1016/0016-5085(90)90817-K] [PMID]
63. McKnight PE, Monfort SS, Kashdan TB, Blalock DV, Calton JM. Anxiety symptoms and functional impairment: A systematic review of the correlation between the two measures. Clinical Psychology Review. 2016;45:115-30. [DOI:10.1016/j.cpr.2015.10.005] [PMID]
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