UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Australia.
Mental Health Service, Royal Brisbane and Women's Hospital, Herston, Australia.
Clin Gerontol. 2024 Jan-Dec;47(2):215-223. doi: 10.1080/07317115.2023.2231940. Epub 2023 Jul 6.
To identify the prevalence of anxiety symptoms using a variety of instruments in an Australian memory clinic sample.
This is an exploratory cross-sectional study using a purposive consecutive series sample of 163 individuals and their carers who attended a Brisbane, Australia, memory clinic in 2012-2015. Descriptive statistics and correlation analyses were performed to explore different approaches to measuring anxiety in the sample, using clinician-rated, self-report and carer-report measures.
The mean age of participants was 78 years, nearly 53% were females. Over 70% of participants with mild cognitive impairment (MCI) and dementia ( = 163) experienced mild to moderate anxiety per a clinician-rated measure (HAM-A), which moderately correlated with carer-report anxiety (IQAD; =.59, < .001). Only weak correlations of these measures with self-report anxiety (GAI) were detected.
Mild to moderate anxiety symptoms were frequent in memory clinic attendees diagnosed with MCI or dementia using the HAM-A, suggesting experiences of subclinical anxiety symptoms.
Self- as well as carer-report screening tools should be used in memory clinics in addition to routinely administered neuropsychiatric assessments to support early identification of anxiety symptoms and mapping of available post-diagnostic care pathways for people diagnosed with cognitive impairment.
使用多种工具在澳大利亚记忆诊所样本中确定焦虑症状的患病率。
这是一项探索性的横断面研究，使用了 2012 年至 2015 年间在澳大利亚布里斯班记忆诊所就诊的 163 名个体及其照顾者的有目的连续系列样本。使用临床医生评定、自我报告和照顾者报告的措施，进行描述性统计和相关分析，以探讨样本中测量焦虑的不同方法。
参与者的平均年龄为 78 岁，近 53%为女性。超过 70%的轻度认知障碍（MCI）和痴呆症患者（ = 163）根据临床医生评定的量表（HAM-A）表现出轻度至中度焦虑，与照顾者报告的焦虑（IQAD）中度相关（ = .59， < .001）。这些测量与自我报告焦虑（GAI）的相关性较弱。
使用 HAM-A 对被诊断为 MCI 或痴呆症的记忆诊所就诊者进行评估，发现轻度至中度焦虑症状频繁，表明存在亚临床焦虑症状。
除了常规进行神经精神病学评估外，记忆诊所还应使用自我报告和照顾者报告的筛查工具，以支持早期识别焦虑症状，并为被诊断为认知障碍的人制定可用的诊断后护理途径。
