Department of Psychiatry, School of Medicine, Cumhuriyet University, TR-58140 Sivas, Turkey.
Int J Geriatr Psychiatry. 2009 Sep;24(9):1026-33. doi: 10.1002/gps.2215.
The objectives of this study are to determine current and lifetime prevalence of anxiety disorders and also to explore the relationship, if any, between possible risk factors and anxiety disorders, amongst elderly people living in the Sivas province of Turkey.
The research sample consisted of 462 persons. A Socio-demographic Data Form was given to the participants and the Anxiety Module of SCID-I was applied. Chi-square and Fischer's exact tests were used to evaluate the data obtained.
The current prevalence for all types of anxiety disorder was found to be 17.1% overall and the lifetime prevalence was found to be 18.6%. The current prevalence rates for particular disorders were found to be 0.4% for panic disorder, 3.2% for obsessive-compulsive disorder, 1.9% for post-traumatic stress disorder, 2.8% for social phobia, 11.5% for specific phobia, 6.9% for generalized anxiety disorder (GAD). Lifetime prevalence rates for these disorders (except GAD) were 1.1%, 3.2%, 3.0%, 2.85%, 11.5% respectively.
Anxiety disorders are more common among elderly people than was previously thought. The lifetime prevalence of specific phobia amongst the elderly is higher than that of general population; the lifetime prevalence ratios of obsessive-compulsive disorder and social phobia are similar to that of the general population in Sivas. In order to improve the delivery of health services, it is recommended that further studies should be conducted among elderly people, both by applying standardized diagnostic tools, but also taking into account socio-economic factors and using convenient therapy methods developed specifically for this group.
本研究旨在确定土耳其锡瓦斯省老年人中焦虑障碍的现患率和终生患病率，并探讨可能的危险因素与焦虑障碍之间的关系。
研究样本由 462 人组成。向参与者发放社会人口统计学数据表格，并应用 SCID-I 焦虑模块。采用卡方检验和费舍尔精确检验对获得的数据进行评估。
所有类型焦虑障碍的现患率为 17.1%，终生患病率为 18.6%。特定障碍的现患率分别为：惊恐障碍 0.4%、强迫症 3.2%、创伤后应激障碍 1.9%、社交恐惧症 2.8%、特定恐惧症 11.5%、广泛性焦虑障碍（GAD）6.9%。这些障碍的终生患病率（除 GAD 外）分别为 1.1%、3.2%、3.0%、2.85%、11.5%。
焦虑障碍在老年人中比以前认为的更为常见。老年人特定恐惧症的终生患病率高于一般人群；强迫症和社交恐惧症的终生患病率与锡瓦斯一般人群相似。为了改善卫生服务的提供，建议在老年人中进一步开展研究，不仅要应用标准化的诊断工具，还要考虑社会经济因素，并使用专为该人群开发的方便治疗方法。
