Anxiety and Functional Status in Older Primary Care Patients
Objective: The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity. Method: Primary care patients (n = 303), aged sixty or older were interviewed with a series of in...
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Veröffentlicht in: | International journal of psychiatry in medicine 2000-01, Vol.30 (3), p.221-228 |
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container_title | International journal of psychiatry in medicine |
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creator | Upadhyaya, Ajaya K. Lyness, Jeffrey M. Cox, Christopher Seidlitz, Larry Caine, Eric D. |
description | Objective:
The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity.
Method:
Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression.
Results:
When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living.
Conclusions:
Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status. |
doi_str_mv | 10.2190/9736-0B8Y-28LD-5MX8 |
format | Article |
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The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity.
Method:
Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression.
Results:
When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living.
Conclusions:
Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status.</description><identifier>ISSN: 0091-2174</identifier><identifier>EISSN: 1541-3527</identifier><identifier>DOI: 10.2190/9736-0B8Y-28LD-5MX8</identifier><identifier>PMID: 11209990</identifier><identifier>CODEN: IJMEDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Activities of Daily Living - classification ; Activities of Daily Living - psychology ; Aged ; Anxiety ; Anxiety Disorders - classification ; Anxiety Disorders - epidemiology ; Biological and medical sciences ; Chronic Disease - classification ; Chronic Disease - psychology ; Comorbidity ; Depression - classification ; Depression - epidemiology ; Depressive Disorder - classification ; Depressive Disorder - epidemiology ; Female ; Geriatrics ; Humans ; Interpersonal Relations ; Male ; Medical sciences ; Middle Aged ; New York - epidemiology ; Poisson Distribution ; Primary care ; Primary Health Care - utilization ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regression Analysis</subject><ispartof>International journal of psychiatry in medicine, 2000-01, Vol.30 (3), p.221-228</ispartof><rights>2000 SAGE Publications</rights><rights>2001 INIST-CNRS</rights><rights>(c) 2000/2001, Baywood Publishing Co., Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-5b56d25907d84d158960ac12445f87a89a708e5f5b76ae317f03571b833d49e43</citedby><cites>FETCH-LOGICAL-c425t-5b56d25907d84d158960ac12445f87a89a708e5f5b76ae317f03571b833d49e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.2190/9736-0B8Y-28LD-5MX8$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.2190/9736-0B8Y-28LD-5MX8$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=860053$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11209990$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Upadhyaya, Ajaya K.</creatorcontrib><creatorcontrib>Lyness, Jeffrey M.</creatorcontrib><creatorcontrib>Cox, Christopher</creatorcontrib><creatorcontrib>Seidlitz, Larry</creatorcontrib><creatorcontrib>Caine, Eric D.</creatorcontrib><title>Anxiety and Functional Status in Older Primary Care Patients</title><title>International journal of psychiatry in medicine</title><addtitle>Int J Psychiatry Med</addtitle><description>Objective:
The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity.
Method:
Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression.
Results:
When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living.
Conclusions:
Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status.</description><subject>Activities of Daily Living - classification</subject><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety Disorders - classification</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease - classification</subject><subject>Chronic Disease - psychology</subject><subject>Comorbidity</subject><subject>Depression - classification</subject><subject>Depression - epidemiology</subject><subject>Depressive Disorder - classification</subject><subject>Depressive Disorder - epidemiology</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Interpersonal Relations</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>New York - epidemiology</subject><subject>Poisson Distribution</subject><subject>Primary care</subject><subject>Primary Health Care - utilization</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><issn>0091-2174</issn><issn>1541-3527</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AkGCgrfo7Fd2F7zUalWotKCCnpZtspGUNKm7Cdh_b0KKFkFPc3nmfWcehI4xXBCs4FIJGoVwLd9CIic3IX98lTuojznDIeVE7KI-gMIhwYL10IH3CwCCMch91MOYgFIK-uhqWHxmtloHpkiCcV3EVVYWJg-eKlPVPsiKYJon1gUzly2NWwcj42wwM1Vmi8ofor3U5N4ebeYAvYxvn0f34WR69zAaTsKYEV6FfM6jhHAFIpEswVyqCEyMCWM8lcJIZQRIy1M-F5GxFIsUKBd4LilNmLKMDtB5l7ty5UdtfaWXmY9tnpvClrXXgnBOlVQNePoLXJS1a_7xGquIAiOUN9DZn5CURArKBDQU7ajYld47m-pVp0Bj0K1_3frXrX_d-tet_2brZJNdz5c2-dnZCN8qNz42eepMEWf-m5MRAKcNBR3lzbvdOu-f5i-_Xpi_</recordid><startdate>20000101</startdate><enddate>20000101</enddate><creator>Upadhyaya, Ajaya K.</creator><creator>Lyness, Jeffrey M.</creator><creator>Cox, Christopher</creator><creator>Seidlitz, Larry</creator><creator>Caine, Eric D.</creator><general>SAGE Publications</general><general>Baywood</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20000101</creationdate><title>Anxiety and Functional Status in Older Primary Care Patients</title><author>Upadhyaya, Ajaya K. ; Lyness, Jeffrey M. ; Cox, Christopher ; Seidlitz, Larry ; Caine, Eric D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-5b56d25907d84d158960ac12445f87a89a708e5f5b76ae317f03571b833d49e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Activities of Daily Living - classification</topic><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Anxiety Disorders - classification</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease - classification</topic><topic>Chronic Disease - psychology</topic><topic>Comorbidity</topic><topic>Depression - classification</topic><topic>Depression - epidemiology</topic><topic>Depressive Disorder - classification</topic><topic>Depressive Disorder - epidemiology</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Interpersonal Relations</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>New York - epidemiology</topic><topic>Poisson Distribution</topic><topic>Primary care</topic><topic>Primary Health Care - utilization</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Upadhyaya, Ajaya K.</creatorcontrib><creatorcontrib>Lyness, Jeffrey M.</creatorcontrib><creatorcontrib>Cox, Christopher</creatorcontrib><creatorcontrib>Seidlitz, Larry</creatorcontrib><creatorcontrib>Caine, Eric D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of psychiatry in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Upadhyaya, Ajaya K.</au><au>Lyness, Jeffrey M.</au><au>Cox, Christopher</au><au>Seidlitz, Larry</au><au>Caine, Eric D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anxiety and Functional Status in Older Primary Care Patients</atitle><jtitle>International journal of psychiatry in medicine</jtitle><addtitle>Int J Psychiatry Med</addtitle><date>2000-01-01</date><risdate>2000</risdate><volume>30</volume><issue>3</issue><spage>221</spage><epage>228</epage><pages>221-228</pages><issn>0091-2174</issn><eissn>1541-3527</eissn><coden>IJMEDO</coden><abstract>Objective:
The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity.
Method:
Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression.
Results:
When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living.
Conclusions:
Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>11209990</pmid><doi>10.2190/9736-0B8Y-28LD-5MX8</doi><tpages>8</tpages></addata></record> |
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issn | 0091-2174 1541-3527 |
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source | SAGE Complete A-Z List; MEDLINE |
subjects | Activities of Daily Living - classification Activities of Daily Living - psychology Aged Anxiety Anxiety Disorders - classification Anxiety Disorders - epidemiology Biological and medical sciences Chronic Disease - classification Chronic Disease - psychology Comorbidity Depression - classification Depression - epidemiology Depressive Disorder - classification Depressive Disorder - epidemiology Female Geriatrics Humans Interpersonal Relations Male Medical sciences Middle Aged New York - epidemiology Poisson Distribution Primary care Primary Health Care - utilization Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis |
title | Anxiety and Functional Status in Older Primary Care Patients |
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