Associations between anxiety and functional disability in older adults: a cross-sectional study

Patrício de Almeida Costa, Maria Paula Ramalho Barbosa, Eduarda Layane da Silva Buriti, Lidiane Lima de Andrade, Mariana Albernaz Pinheiro de Carvalho, Matheus Figueiredo Nogueira
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Abstract

Abstract Objective to estimate the prevalence of anxiety in older adults and its association with different levels of functional disability in a small town in the state of Paraiba, Brazil. Method a cross-sectional analytical study was carried out of 233 randomly-selected older users of the Family Health Strategy program. Data were collected using the World Health Organization Disability Assessment Schedule 2.0 and the Geriatric Anxiety Inventory. Results were analyzed using descriptive and bivariate statistics adopting a significance level of p < 0.05. Results Overall, 48.1% of the participants had some degree of selfreported anxiety, with significantly higher levels among women (mean rank = 128.11; p = 0.002). An association was also found between severe anxiety level and severe disability level (p < 0.001). Conclusion the high prevalence of different degrees of geriatric anxiety and its association with severe functional disability indicates the coexistence of psychoemotional and motor alterations. These findings suggest the need to break the chain of underdiagnosis and strengthen the implementation of specialized interventions in the field of gerontology and geriatrics.
老年人焦虑与功能障碍之间的关系:一项横断面研究
目的了解巴西帕拉伊巴州一个小镇老年人焦虑的患病率及其与不同程度功能残疾的关系。方法对随机选择的233名家庭健康战略计划的老年用户进行横断面分析研究。使用世界卫生组织残疾评估表2.0和老年焦虑量表收集数据。结果采用描述性和双变量统计进行分析,显著性水平为p < 0.05。结果总体而言,48.1%的参与者有一定程度的自我报告焦虑,女性的水平明显更高(平均排名= 128.11;P = 0.002)。严重焦虑水平与严重残疾水平之间也存在关联(p < 0.001)。结论不同程度老年焦虑症的高患病率及其与严重功能障碍的相关性表明心理情绪改变和运动改变并存。这些发现表明,有必要打破诊断不足的链条,加强实施老年学和老年病学领域的专门干预措施。
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