The Trinity Centre for Ageing and Intellectual Disability (TCAID), The Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA), School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Department of Psychiatry, Daughters of Charity Disability Support Services, Dublin, Ireland.
J Intellect Disabil Res. 2020 May;64(5):368-380. doi: 10.1111/jir.12724. Epub 2020 Mar 25.
Depression and anxiety are amongst the most prevalent mental health disorders in the older population with intellectual disability (ID). There is a paucity of research that pertains to associative biopsychosocial factors for depression and anxiety in this population. The aim of this study is to determine the biopsychosocial factors associated with depression and anxiety in a population of older adults with ID in Ireland.
The study was part of 'The Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing'. Depressive symptoms were assessed using the Glasgow Depression Scale for people with a Learning Disability. Anxiety symptoms were measured using the Glasgow Anxiety Scale for people with a Learning Disability. The cross-sectional associations of depression and anxiety with biopsychosocial parameters were measured using a variety of self-report and proxy-completed questionnaires.
For the study population, 9.97% met the criteria for depression, and 15.12% met the criteria for an anxiety disorder. Participants meeting criteria for depression were more likely to be taking regular mood stabiliser medications and to exhibit aggressive challenging behaviour. Participants meeting criteria for anxiety were more likely to have sleep difficulties and report loneliness. Participants meeting criteria for either/both depression and anxiety were more likely to report loneliness.
This study identified both treatable and modifiable, as well as unmodifiable, biopsychosocial factors associated with depression and/or anxiety in older adults with ID. A longitudinal study follow-up will further develop our knowledge on the causality and direction of associated biopsychosocial factors with depression and anxiety in older adults with ID and better inform management strategies, prevention policies and funding of services.
抑郁和焦虑是老年智障人群中最常见的心理健康障碍之一。针对该人群中与抑郁和焦虑相关的关联生物心理社会因素的研究很少。本研究旨在确定爱尔兰老年智障人群中与抑郁和焦虑相关的生物心理社会因素。
该研究是“爱尔兰老龄化纵向研究智力障碍补充研究”的一部分。使用学习障碍者格拉斯哥抑郁量表评估抑郁症状。使用学习障碍者格拉斯哥焦虑量表评估焦虑症状。使用各种自我报告和代理完成的问卷测量抑郁和焦虑与生物心理社会参数的横断面关联。
对于研究人群，9.97%符合抑郁标准，15.12%符合焦虑障碍标准。符合抑郁标准的参与者更有可能服用常规情绪稳定剂药物，并表现出攻击性挑战行为。符合焦虑标准的参与者更有可能有睡眠困难和孤独感。同时符合抑郁和/或焦虑标准的参与者更有可能感到孤独。
本研究确定了与智障老年人抑郁和/或焦虑相关的可治疗和可改变的以及不可改变的生物心理社会因素。一项纵向研究随访将进一步发展我们对智障老年人抑郁和焦虑相关生物心理社会因素的因果关系和方向的认识，并更好地为管理策略、预防政策和服务资金提供信息。
