{"title":"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","authors":"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","doi":"10.1016/j.jad.2025.120007","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"120007"},"PeriodicalIF":4.9000,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence, correlates, functional impairment and mental health service gap of anxiety disorders among elderly population in China.\",\"authors\":\"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\",\"doi\":\"10.1016/j.jad.2025.120007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":14963,\"journal\":{\"name\":\"Journal of affective disorders\",\"volume\":\" \",\"pages\":\"120007\"},\"PeriodicalIF\":4.9000,\"publicationDate\":\"2025-12-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of affective disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jad.2025.120007\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/8/5 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of affective disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jad.2025.120007","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/8/5 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Prevalence, correlates, functional impairment and mental health service gap of anxiety disorders among elderly population in China.
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.
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.
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