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FC28-02 - Generalized anxiety disorder in the elderly. An Italian population-based study

Published online by Cambridge University Press:  16 April 2020

M. Forlani
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
A.R. Atti
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
T. Attili
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
V. Morini
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
C. Forlani
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
L. Cimino
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy
E. Dalmonte
Affiliation:
Local Health of Ravenna, Faenza, Italy
D. De Ronchi
Affiliation:
Institute of Psychiatry ‘P.Ottonello’, Bologna, Italy

Abstract

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Introduction

The longevity of population is an evidence over the past decades. Elderly physical and mental health are imperative. Despite anxiety is common and has adverse consequences, literature is meagre.

Objectives

To estimate the prevalence of generalized anxiety disorder (GAD) in elderly and to investigate the association with physical comorbidity, depression, daily habits.

Methods

426 subjects from the population-based Faenza Community Aging Study (De Ronchi et al 2005), mean age 85,1 (Standard Deviation = 6,9). The Geriatric Anxiety Inventory short-form (GAI-sf) was utilized to define GAD (score ≥ 3). Logistic-regression were used to estimated odds ratio and 95%Confidence Intervals (CI).

Result

Subjects with anxiety were 84 (21,2%), 63,1% were women. For age < 80 the prevalence of GAD was 38,1% while for age> 95 was 4,8%. When we compared elderly with GAD to elderly not affected we found the following results: no hobbies (83,3% vs 79,6%) p = 0,124, no friendship (21,8% vs 15,8%) p = 0,425, they don’t make physical activity (53,7% vs 45,6%) p = 0,214 than subjects without anxiety. To have comorbidity was associated with anxiety: one disease OR (CI95%) = 2,71 (1,15–6,24), two or three OR (CI95%) = 2,57 (1,07–6,16) and > three OR (CI95%) = 7,5 (1,81–31,05). Hypertension was positively associated with anxiety OR (CI95%) = 1,94 (1,04-3,62). Depression was highly correlated with anxiety OR (CI 95%) = 5,82 (3,39–9,98). Moderate alcohol consumption was negative associated with anxiety OR(CI 95%) = 0,49 (0,25–0,95).

Conclusion

Anxiety in elderly is frequent and should be actively investigated especially in elderly with comorbidity.

Type
Research Article
Copyright
Copyright © European Psychiatric Association 2011
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