Anxiety and mortality risk in community-dwelling elderly people
Identifieur interne : 005093 ( Main/Exploration ); précédent : 005092; suivant : 005094Anxiety and mortality risk in community-dwelling elderly people
Auteurs : Isabelle Carriere [France] ; Joanne Ryan [France, Australie] ; Joanna Norton [France] ; Jacqueline Scali [France] ; Robert Stewart [Royaume-Uni] ; Karen Ritchie [France, Royaume-Uni] ; Marie Laure Ancelin [France]Source :
- British journal of psychiatry : (Print) [ 0007-1250 ] ; 2013.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : France.
- topic : Mortalité, Santé publique, Santé mentale, Personne âgée.
English descriptors
- KwdEn :
Abstract
Background There are conflicting data on the role of anxiety in predicting mortality. Aims To evaluate the 10-year mortality risk associated with anxiety in community-dwelling elderly people. Method Using data from 718 men and 1046 women aged 65 years and over, gender-stratified associations of anxiety symptoms (Spielberger State-Trait Anxiety Inventory, third tertile) and current DSM-IV anxiety disorder including generalised anxiety disorder (GAD) and phobia with all-cause and cardiovascular mortality were determined. Results In women, mortality risk was increased for anxiety disorder and GAD in multivariate Cox models (hazard ratio (HR) = 1.53, 95% CI 1.02-2.27 and HR=2.04, 95% CI 1.08-3.86 respectively), whereas for phobia it was nearly significant (HR = 1.52, 95% CI 0.94-2.47). Anxiety trait symptoms became non-significant as a result of the confounding effect of depressive symptoms. Anxiety disorder was associated with cardiovascular mortality in univariate analysis (HR=2.42, 95% CI 1.16-5.07). No significant associations were found in men. Conclusions Our study suggests a gender-specific association of anxiety and mortality.
Affiliations:
- Australie, France, Royaume-Uni
- Angleterre, Grand Londres, Languedoc-Roussillon, Occitanie (région administrative)
- Londres, Montpellier
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Le document en format XML
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<term>Elderly</term>
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<term>France</term>
<term>Gender</term>
<term>Mental health</term>
<term>Mortality</term>
<term>Public health</term>
<term>Risk factor</term>
<term>Sex</term>
<term>Social environment</term>
<term>Sociodemographic factor</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Angoisse anxiété</term>
<term>Facteur risque</term>
<term>Mortalité</term>
<term>Trouble anxieux</term>
<term>Sexe</term>
<term>Facteur sociodémographique</term>
<term>Etude longitudinale</term>
<term>Santé publique</term>
<term>Santé mentale</term>
<term>Environnement social</term>
<term>France</term>
<term>Personne âgée</term>
<term>Genre</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Mortalité</term>
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<front><div type="abstract" xml:lang="en">Background There are conflicting data on the role of anxiety in predicting mortality. Aims To evaluate the 10-year mortality risk associated with anxiety in community-dwelling elderly people. Method Using data from 718 men and 1046 women aged 65 years and over, gender-stratified associations of anxiety symptoms (Spielberger State-Trait Anxiety Inventory, third tertile) and current DSM-IV anxiety disorder including generalised anxiety disorder (GAD) and phobia with all-cause and cardiovascular mortality were determined. Results In women, mortality risk was increased for anxiety disorder and GAD in multivariate Cox models (hazard ratio (HR) = 1.53, 95% CI 1.02-2.27 and HR=2.04, 95% CI 1.08-3.86 respectively), whereas for phobia it was nearly significant (HR = 1.52, 95% CI 0.94-2.47). Anxiety trait symptoms became non-significant as a result of the confounding effect of depressive symptoms. Anxiety disorder was associated with cardiovascular mortality in univariate analysis (HR=2.42, 95% CI 1.16-5.07). No significant associations were found in men. Conclusions Our study suggests a gender-specific association of anxiety and mortality.</div>
</front>
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