老年人在识别焦虑和抑郁症状方面不如年轻人准确。
Older adults are less accurate than younger adults at identifying symptoms of anxiety and depression.
作者信息
Wetherell Julie Loebach, Petkus Andrew J, McChesney Kathleen, Stein Murray B, Judd Patricia H, Rockwell Enid, Sewell Daniel D, Patterson Thomas L
机构信息
Department of Psychiatry, University of California, San Diego, CA 92093-9111, USA.
出版信息
J Nerv Ment Dis. 2009 Aug;197(8):623-6. doi: 10.1097/NMD.0b013e3181b0c081.
Abstract
The present study examined age differences in the identification of anxiety and depressive symptoms in a community sample of 374 adults, ages 18 to 93. Older adults were less accurate and more likely than younger adults to label symptoms as neither anxiety nor depression. Both older and younger adults were more accurate in their classification of depressive than anxiety symptoms. These findings suggest that additional efforts are needed to educate the general public, particularly older adults, about anxiety and its symptoms.
摘要
本研究调查了374名年龄在18岁至93岁之间的成年人社区样本在焦虑和抑郁症状识别方面的年龄差异。与年轻成年人相比，老年人识别症状的准确性较低，且更倾向于将症状既不归类为焦虑也不归类为抑郁。老年人和年轻成年人对抑郁症状的分类都比对焦虑症状的分类更准确。这些发现表明，需要做出更多努力来对公众，尤其是老年人，进行有关焦虑及其症状的教育。
相似文献
1
Older adults are less accurate than younger adults at identifying symptoms of anxiety and depression.老年人在识别焦虑和抑郁症状方面不如年轻人准确。
J Nerv Ment Dis. 2009 Aug;197(8):623-6. doi: 10.1097/NMD.0b013e3181b0c081.
2
Measures of depression in older adults with generalized anxiety disorder: a psychometric evaluation.广泛性焦虑障碍老年患者的抑郁测量：一项心理测量学评估。
Depress Anxiety. 2000;11(3):114-20. doi: 10.1002/(sici)1520-6394(2000)11:3<114::aid-da5>3.0.co;2-c.
3
Family and Personality Predictors of Clinical Depression and Anxiety in Emerging Adults: Common, Distinctive, or a Vulnerability Continuum?新兴成年人临床抑郁和焦虑的家庭及人格预测因素：共同、独特还是脆弱连续体？
J Nerv Ment Dis. 2018 Jul;206(7):537-543. doi: 10.1097/NMD.0000000000000839.
4
Subscales measuring symptoms of non-specific depression, anhedonia, and anxiety in the Edinburgh Postnatal Depression Scale.爱丁堡产后抑郁量表中用于测量非特异性抑郁、快感缺失及焦虑症状的分量表。
Br J Clin Psychol. 2008 Jun;47(Pt 2):153-69. doi: 10.1111/j.2044-8260.2008.tb00463.x. Epub 2007 Aug 29.
5
Age differences in symptoms of depression and anxiety: examining behavioral medicine outpatients.抑郁和焦虑症状的年龄差异：对行为医学门诊患者的调查
J Behav Med. 2003 Apr;26(2):119-32. doi: 10.1023/a:1023030605390.
6
The Hospital Anxiety and Depression scale: Factor structure and psychometric properties in older adolescents and young adults with autism spectrum disorder.医院焦虑和抑郁量表：自闭症谱系障碍的青少年和年轻成人中的因子结构和心理测量特性。
Autism Res. 2018 Feb;11(2):258-269. doi: 10.1002/aur.1872. Epub 2017 Sep 18.
7
Anxiety and depressive disorders in psychiatrically disturbed children.患有精神障碍的儿童的焦虑和抑郁障碍
J Clin Psychiatry. 1982 Sep;43(9):358-61.
8
Complicated grief, depression, and anxiety as distinct postloss syndromes: a confirmatory factor analysis study.复杂悲伤、抑郁和焦虑作为不同的丧亲后综合征：一项验证性因素分析研究。
Am J Psychiatry. 2005 Nov;162(11):2175-7. doi: 10.1176/appi.ajp.162.11.2175.
9
[Affectivity and alexithymia: two dimensions explicative of the relationship between anxiety and depressive symptoms].[情感与述情障碍：解释焦虑与抑郁症状之间关系的两个维度]
Encephale. 2012 Jun;38(3):187-93. doi: 10.1016/j.encep.2011.03.006. Epub 2011 Oct 7.
10
Validation of the Hospital Anxiety and Depression Scale in Arab patients.医院焦虑抑郁量表在阿拉伯患者中的效度验证。
Acta Psychiatr Scand. 1991 Oct;84(4):323-6. doi: 10.1111/j.1600-0447.1991.tb03153.x.
引用本文的文献
1
Prevalence and correlates of anxiety, depression, and symptoms of trauma among Palestinian adults in Gaza after a year of war: a cross-sectional study.加沙地区巴勒斯坦成年人在经历一年战争后的焦虑、抑郁及创伤症状的患病率及其相关因素：一项横断面研究
Confl Health. 2025 Jul 16;19(1):43. doi: 10.1186/s13031-025-00681-1.
2
Factors associated with anxiety and fear of falling in older adults: A rapid systematic review of reviews.老年人焦虑和跌倒恐惧的相关因素：快速综述的系统评价
PLoS One. 2024 Dec 18;19(12):e0315185. doi: 10.1371/journal.pone.0315185. eCollection 2024.
3
Association between impairment of lung function and risk of anxiety and depression in patients with chronic obstructive pulmonary disease-a systematic review.慢性阻塞性肺疾病患者肺功能损害与焦虑和抑郁风险之间的关联——一项系统综述
Syst Rev. 2024 Dec 4;13(1):300. doi: 10.1186/s13643-024-02720-z.
4
Comorbid anxiety, loneliness, and chronic pain as predictors of intervention outcomes for subclinical depressive symptoms in older adults: evidence from a large community-based study in Hong Kong.焦虑、孤独和慢性疼痛共病与老年人亚临床抑郁症状干预结果的关系：来自香港一项大型社区研究的证据。
BMC Psychiatry. 2024 Nov 21;24(1):839. doi: 10.1186/s12888-024-06281-2.
5
Differences in Depressive Symptom Profile by Age Group in Koreans With Major Depressive Disorder: Results From Nationwide General Population Surveys.韩国重度抑郁症患者抑郁症状特征的年龄组差异：全国普通人群调查结果
Psychiatry Investig. 2024 Sep;21(9):1025-1032. doi: 10.30773/pi.2024.0074. Epub 2024 Sep 11.
6
The effects of medical comorbidity, cognition, and age on patient-reported outcomes in Parkinson's disease.医学合并症、认知功能和年龄对帕金森病患者报告结局的影响。
Parkinsonism Relat Disord. 2023 Nov;116:105892. doi: 10.1016/j.parkreldis.2023.105892. Epub 2023 Oct 10.
7
Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment.老年人围手术期焦虑和抑郁：流行病学和治疗。
Am J Geriatr Psychiatry. 2023 Nov;31(11):996-1008. doi: 10.1016/j.jagp.2023.07.002. Epub 2023 Jul 8.
8
Resilience of racial and ethnic minority older adults during the COVID-19 pandemic: The role of a prior disability prevention intervention.少数族裔和老年人在 COVID-19 大流行期间的韧性：先前的残疾预防干预的作用。
Am Psychol. 2024 Feb-Mar;79(2):241-253. doi: 10.1037/amp0001177. Epub 2023 Jul 20.
9
Association of depressive disorders and dementia with mortality among older people with hip fracture.抑郁障碍和痴呆与髋部骨折老年人死亡率的关系。
BMC Geriatr. 2023 Mar 9;23(1):135. doi: 10.1186/s12877-023-03862-w.
10
Age-Dependent Differences in Frequent Mental Distress (FMD) of US Older Adults Living in Multigenerational Families versus Living Alone.美国多代同堂老年人与独居老年人频繁精神困扰（FMD）的年龄差异。
Int J Environ Res Public Health. 2023 Feb 20;20(4):3747. doi: 10.3390/ijerph20043747.
本文引用的文献
1
Behavioral health needs and problem recognition by older adults receiving home-based aging services.老年人接受居家养老服务的行为健康需求和问题识别。
Int J Geriatr Psychiatry. 2009 Apr;24(4):400-8. doi: 10.1002/gps.2135.
2
The prevalence of anxiety in older adults: methodological issues and a review of the literature.老年人焦虑症的患病率：方法学问题及文献综述。
J Affect Disord. 2008 Aug;109(3):233-50. doi: 10.1016/j.jad.2007.11.008. Epub 2007 Dec 26.
3
Reluctance to seek help and the perception of anxiety and depression in the United kingdom: a pilot vignette study.英国对寻求帮助的抵触以及对焦虑和抑郁的认知：一项试点小品文研究
J Nerv Ment Dis. 2007 Mar;195(3):258-61. doi: 10.1097/01.nmd.0000253781.49079.53.
4
Research on mental health literacy: what we know and what we still need to know.心理健康素养研究：我们所知与仍需了解的内容。
Aust N Z J Psychiatry. 2006 Jan;40(1):3-5. doi: 10.1080/j.1440-1614.2006.01734.x.
5
Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication.全国共病调查复制研究中12个月内DSM-IV疾病的患病率、严重程度及共病情况。
Arch Gen Psychiatry. 2005 Jun;62(6):617-27. doi: 10.1001/archpsyc.62.6.617.
6
The impact of beyondblue: the national depression initiative on the Australian public's recognition of depression and beliefs about treatments.“走出忧郁”全国抑郁症倡议组织对澳大利亚公众对抑郁症的认知及治疗观念的影响。
Aust N Z J Psychiatry. 2005 Apr;39(4):248-54. doi: 10.1080/j.1440-1614.2005.01561.x.
7
Relational integration, inhibition, and analogical reasoning in older adults.老年人的关系整合、抑制和类比推理
Psychol Aging. 2004 Dec;19(4):581-91. doi: 10.1037/0882-7974.19.4.581.
8
Quality of life in geriatric generalized anxiety disorder: a preliminary investigation.老年广泛性焦虑障碍患者的生活质量：一项初步调查。
J Psychiatr Res. 2004 May-Jun;38(3):305-12. doi: 10.1016/j.jpsychires.2003.09.003.
9
Do people recognise mental illness? Factors influencing mental health literacy.人们能识别精神疾病吗？影响精神卫生素养的因素。
Eur Arch Psychiatry Clin Neurosci. 2003 Oct;253(5):248-51. doi: 10.1007/s00406-003-0439-0.
10
Differences in community mental health literacy in older and younger Australians.澳大利亚老年人和年轻人社区心理健康素养的差异。
Int J Geriatr Psychiatry. 2003 Jan;18(1):33-40. doi: 10.1002/gps.769.
Zotero 插件