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Centre for Policy on Ageing | |
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| Frailty, depression, and anxiety in later life | | Author(s) | Aine M Ni Mhaolain, Chie Wei Fan, Roman Romero-Ortuno |
| Journal title | International Psychogeriatrics, vol 24, no 8, August 2012 |
| Pages | pp 1265-1274 |
| Source | www.journals.cambridge.org/ipg |
| Keywords | Depression ; Anxiety ; Evaluation ; Cross sectional surveys ; Ireland. |
| Annotation | Anxiety and depression are common in older people but are often missed; to improve detection, we must focus on those elderly people at risk. Frailty is a geriatric syndrome inferring increased risk of poor outcomes. The authors explore the relationship between frailty and clinically significant anxiety and depression in later life. This study has a cross-sectional design and involved the assessment of 567 community-dwelling people aged 60+ recruited from the Technology Research for Independent Living (TRIL) Clinic, Dublin. Frailty was measured using the Fried biological syndrome model; depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale (CES-D); and anxiety symptoms measured using the Hospital Anxiety and Depression Scale (HADS). Higher depression and anxiety scores were identified in both pre-frail and frail groups compared to robust older people (three-way factorial ANOVA, p =0.0001). In a logistic regression model, the odds ratio for frailty showed a significantly higher likelihood of clinically meaningful depressive and anxiety symptoms even controlling for age, gender and a history of depression or anxiety requiring pharmacotherapy (OR = 4.3; 95% CI 1.5, 11.9; p = 0.005; OR = 4.36; 95% CI 1.4, 13.8; p = 0.013 respectively). The findings suggest that even at the earliest stage of pre-frailty, there is an association with increased symptoms of emotional distress. Once frailty develops, there is a higher likelihood of clinically significant depression and anxiety. Frailty may be relevant in identifying older people at risk of deteriorating mental health. (RH). |
| Accession Number | CPA-121026098 A |
| Classmark | ENR: ENP: 4C: 3KB: 763 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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