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养老院和其他老年护理机构中老年人焦虑症状严重程度的相关因素。

The Factors Associated With Anxiety Symptom Severity in Older Adults Living in Nursing Homes and Other Residential Aged Care Facilities.

机构信息

1 Monash University, Clayton, Victoria, Australia.

2 Australian Catholic University, Melbourne, Victoria, Australia.

出版信息

J Aging Health. 2019 Aug;31(7):1235-1258. doi: 10.1177/0898264318767781. Epub 2018 Apr 21.

DOI:10.1177/0898264318767781
PMID:29683028
Abstract

This study aimed to identify the biopsychosocial factors associated with anxiety among a residential aged care sample. A total of 178 residents ( age = 85.4 years, = 7.4 years) with mild cognitive impairment or normal cognition participated. Participants completed the Geriatric Anxiety Inventory (GAI) and a set of measures assessing cognition, depression, self-perceived health, mastery, attachment, perceived social support, social engagement, functional status, the experience of a fall, and other negative life events. Unique correlates of GAI scores were depression, a preoccupied attachment style, lower mastery, cognitive impairment, and lower self-perceived health. Most correlates that were uniquely associated with anxiety had little to do with the current environment. More variance was accounted for by stable and lifelong factors. This provides new insights into the characteristics of anxiety within aged care populations, and although preliminary, provides possible targets to prevent and treat anxiety within this setting.

摘要

本研究旨在确定与住宅养老样本中焦虑相关的生物心理社会因素。共有 178 名患有轻度认知障碍或正常认知的居民(年龄=85.4 岁,=7.4 岁)参与了此项研究。参与者完成了老年焦虑量表(GAI)和一套评估认知、抑郁、自我感知健康、掌握、依恋、感知社会支持、社交参与、功能状态、跌倒经历和其他负面生活事件的测量。GAI 评分的独特相关因素是抑郁、全神贯注的依恋风格、较低的掌握感、认知障碍和较低的自我感知健康。与焦虑有独特关联的大多数相关因素与当前环境几乎没有关系。更多的差异是由稳定和终身的因素造成的。这为了解养老院人群中的焦虑特征提供了新的视角,尽管这只是初步的研究结果,但为在这一环境中预防和治疗焦虑提供了可能的目标。

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