University of Michigan School of Social Work, Ann Arbor, USA.
J Aging Health. 2020 Jun/Jul;32(5-6):491-500. doi: 10.1177/0898264319830805. Epub 2019 Mar 5.
To examine the potentially bidirectional relationship between anxiety symptoms and unmet needs for assistance with daily activities among older adults. Data came from the National Health and Aging Trends Study, 2011 through 2016 surveys. The study sample consisted of 3,936 Medicare beneficiaries with activity limitations at baseline, aged 65 or older. Cox proportional hazards regression was used to test the proposed relationship between anxiety symptoms and unmet needs for assistance with daily activities. Having unmet needs increased the risk of the onset of anxiety symptoms, and elevated anxiety symptoms increased the risk of incident unmet needs for assistance with daily activities. : Anxiety symptoms and unmet needs form a bidirectional relationship. Integrated mental health and community-based long-term care services may help reduce the burden of late-life anxiety disorders and stressful life incidents contributing to disability.
为了探讨老年人的焦虑症状与日常生活活动援助未满足需求之间潜在的双向关系。数据来自 2011 年至 2016 年的国家健康与老龄化趋势研究调查。研究样本包括 3936 名在基线时有活动障碍的医疗保险受益人,年龄在 65 岁或以上。使用 Cox 比例风险回归来检验焦虑症状与日常生活活动援助未满足需求之间的拟议关系。有未满足的需求会增加焦虑症状发作的风险,而焦虑症状的升高会增加日常活动援助未满足需求的风险。:焦虑症状和未满足的需求之间存在双向关系。综合心理健康和基于社区的长期护理服务可能有助于减轻晚年焦虑障碍的负担,并减轻导致残疾的生活压力事件。