Prevalence, correlates, functional impairment and mental health service gap of anxiety disorders among elderly population in China.

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-12-15 Epub Date: 2025-08-05 DOI:10.1016/j.jad.2025.120007

Jianan Song, Xiaofei Hou, Tingting Zhang, Yueqin Huang, Xiangdong Wang, Xiufeng Xu, Zhizhong Wang, Yifeng Xu, Tao Li, Minghui Li, Xiangdong Xu, Limin Wang, Yongping Yan, Shuiyuan Xiao, Lingjiang Li, Jie Yan, Yaqin Yu, Zhaorui Liu, Huifang Yin, Guangming Xu

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引用次数: 0

Abstract

Aims: To report the prevalence and correlates of anxiety disorders among the elderly population in China; and to describe functional impairment and mental health service utilization due to anxiety disorders.

Methods: Data were derived from the Chinese Mental Health Survey. Weighted prevalence rates of various anxiety disorders were calculated. Logistic regression analyses were conducted to investigate correlates associated with anxiety disorders. Functional impairment and mental health service utilization were also assessed.

Results: The weighted lifetime prevalence and 12-month prevalence of any anxiety disorder were 9.2 % and 6.0 %, respectively. Older adults with more chronic physical conditions, comorbid depressive disorders, and substance use disorders were more likely to have anxiety disorders. A substantial proportion of older adults reported functional impairment across different domains. Among respondents with 12-month anxiety disorders, only 11.8 % had sought any mental health services in the past year.

Conclusions: Anxiety disorders are highly prevalent and cause serious impairment in the Chinese elderly population. Some correlates should be considered in the prevention and management of anxiety disorders. Additionally, the notable gap in mental health service utilization for anxiety disorders among the elderly in China highlights the need for improved healthcare services.

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中国老年人焦虑症患病率、相关因素、功能损害及心理健康服务缺口

目的：报道中国老年人焦虑症的患病率及其相关因素；并描述焦虑障碍导致的功能损害和心理健康服务利用情况。方法：数据来源于中国心理健康调查。计算各种焦虑障碍的加权患病率。进行Logistic回归分析以调查与焦虑障碍的相关性。还评估了功能障碍和心理健康服务的利用情况。结果：任何焦虑症的加权终生患病率和12个月患病率分别为9.2% %和6.0 %。患有慢性身体疾病、共病抑郁症和物质使用障碍的老年人更有可能患有焦虑症。相当大比例的老年人报告了不同领域的功能障碍。在患有12个月焦虑症的受访者中，只有11.8% %在过去一年中寻求过任何精神卫生服务。结论：焦虑障碍在中国老年人群中普遍存在并造成严重损害。在焦虑障碍的预防和管理中应考虑一些相关因素。此外，中国老年人对焦虑症的心理健康服务利用率存在显著差距，这凸显了改善医疗服务的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.