1 University of Rochester, NY, USA.
J Aging Health. 2019 Sep;31(8):1353-1375. doi: 10.1177/0898264318781123. Epub 2018 Jun 13.
The objective of the study is to examine the association of auditory, vision, and dual sensory impairment with late-life depressive and anxiety symptoms. Our study included 7,507 older adults from the National Health & Aging Trends Study, a nationally representative sample of U.S. Medicare beneficiaries. Auditory and vision impairment were determined by self-report, and depressive and anxiety symptoms were evaluated by the two-item Patient Health Questionnaire (PHQ-2) and two-item Generalized Anxiety Disorder Scale (GAD-2), respectively. Auditory, vision, and dual impairment were associated with an increased risk of depressive and anxiety symptoms in multivariable analyses accounting for sociodemographics, medical comorbidity, and functional impairment. Auditory, vision, and dual impairment were also associated with an increased risk for depressive and anxiety symptoms that persist or were of new onset after 1 year. Screening older adults with sensory impairments for depression and anxiety, and screening those with late-life depression and anxiety for sensory impairments, may identify treatment opportunities to optimize health and well-being.
本研究旨在探讨听觉、视觉和双重感官障碍与老年期抑郁和焦虑症状的关联。我们的研究纳入了来自全国健康老龄化趋势研究（National Health & Aging Trends Study）的 7507 名老年人，这是美国医疗保险受益人的全国代表性样本。听觉和视觉障碍通过自我报告确定，抑郁和焦虑症状则分别通过两项患者健康问卷（Patient Health Questionnaire，PHQ-2）和两项广泛性焦虑症量表（Generalized Anxiety Disorder Scale，GAD-2）进行评估。在多变量分析中，考虑了社会人口统计学因素、合并症和功能障碍，听觉、视觉和双重障碍与抑郁和焦虑症状的风险增加相关。听觉、视觉和双重障碍也与 1 年后持续存在或新出现的抑郁和焦虑症状的风险增加相关。对有感官障碍的老年人进行抑郁和焦虑筛查，以及对有老年期抑郁和焦虑的老年人进行感官障碍筛查，可能会发现治疗机会，以优化健康和幸福感。
