Low Gail, AliSher Anila Naz, Morero Juceli, Gao Zhiwei, Gutman Gloria, Franca Alex, von Humboldt Sofia
Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada.
College of Nursing, University of Sao Paulo at Ribeirão Preto, Sao Paulo 14040-902, Brazil.
Healthcare (Basel). 2024 Sep 13;12(18):1837. doi: 10.3390/healthcare12181837.
This study sheds light on the personal characteristics of older Canadians self-identifying as severely anxious and the coping strategies that they gravitated to mitigate their anxiety. Our studied sample consisted of 606 Canadians aged 60 and above who took part in an e-survey across all 10 of Canada's provinces, launched in July 2022, when social distancing was lifted across the country. Participants completed a personal characteristics questionnaire, the Geriatric Anxiety Scale or GAS-10, and a checklist of everyday coping strategies for mitigating anxiety. A seemingly greater number of severely anxious Canadians were born female, self-identified as a cisgender woman, and were in their 60s and in poor to fair health. A univariate logistic regression analysis revealed that all such personal characteristics were associated with statistically significantly greater odds of experiencing severe anxiety. In our multivariate logistic regression analysis, no significant differences were observed between the sexes ( = 0.590, = 0.404), and non-binary and cisgender men ( = 0.689, = 0.441) and women ( = 0.657, = 0.397). Nor were there statistically significant differences in the odds of experiencing severe anxiety for those living with versus without a life partner and chronic illnesses. Older Canadians experiencing severe anxiety were far more likely to normalize their fear and anxiety ( = 4.76, < 0.001), challenge their worries ( = 5.21, < 0.001), and to relax or meditate ( = 2.36, = < 0.001). They were less inclined to decrease other sources of stress in their lives, to stay active, and to get enough sleep. We offer anticipatory guidance for mental health program planners and practitioners, and fruitful avenues of inquiry for researchers.
本研究揭示了自我认定为严重焦虑的加拿大老年人的个人特征,以及他们为减轻焦虑所倾向采用的应对策略。我们的研究样本包括606名60岁及以上的加拿大人,他们参与了2022年7月在加拿大所有10个省份开展的一项电子调查,当时全国范围内解除了社交距离限制。参与者完成了一份个人特征问卷、老年焦虑量表(GAS - 10)以及一份减轻焦虑的日常应对策略清单。自我认定为严重焦虑的加拿大人中,女性出生的人数似乎更多,自我认定为顺性别女性,年龄在60多岁,健康状况为较差至一般。单因素逻辑回归分析显示,所有这些个人特征都与经历严重焦虑的统计学显著更高几率相关。在我们的多因素逻辑回归分析中,未观察到性别之间(p = 0.590,OR = 0.404)、非二元性别和顺性别男性(p = 0.689,OR = 0.441)以及女性(p = 0.657,OR = 0.397)之间存在显著差异。对于有或没有生活伴侣以及患有或未患有慢性病的人来说,经历严重焦虑的几率也没有统计学显著差异。经历严重焦虑的加拿大老年人更有可能使他们的恐惧和焦虑正常化(p = 4.76,OR < 0.001)、挑战他们的担忧(p = 5.21,OR < 0.001)以及放松或冥想(p = 2.36,OR < 0.001)。他们不太倾向于减少生活中的其他压力源、保持活跃以及获得充足睡眠。我们为心理健康项目规划者和从业者提供了预期指导,并为研究人员提供了富有成效的探究途径。