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학술저널
저자정보
김상대 (전남대학교) 강희주 (전남대학교) 이주연 (전남대학교) 김선영 (전남대학교) 배경열 (전남대학교) 김성완 (전남대학교) 김재민 (전남대학교) 신일선 (전남대학교) 윤진상 (전남대학교)
저널정보
대한생물치료정신의학회 생물치료정신의학 생물치료정신의학 제21권 제3호
발행연도
2015.10
수록면
149 - 158 (10page)

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Objectives:This study aimed to investigate the associations between physical diseases and prevalence, incidence and persistence of anxiety in a community dwelling old population aged 65 years or over.
Methods:1,204 people aged 65 years or over were evaluated at baseline, and 909(75.4%) were followed two years later. Anxiety was identified at both evaluation points using the questions from the community version of the Geriatric Mental State Schedule together with diagnostic algorithm, the Automated Geriatric Examination for Computer Assisted Taxonomy. Reported physical diseases covering 11 common and generally chronic health problems were ascertained. Covariates including age, gender, education, living area, accommodation status, past occupation, current occupation, marital status and depression were entered into logistic regression analyses.
Results:In multivariate analyses, prevalent anxiety was independently associated with 7 of 11 physical diseases (arthritis or rheumatism, eyesight problems, hearing difficulty, hypertension, heart disease, gastrointestinal problems, and unilateral paralysis or weakness) ; and incident anxiety was independently associated with 2 physical diseases(arthritis or rheumatism and heart disease). But persistent anxiety was not associated with any physical diseases. Prevalent and incident anxiety were significantly associated with increased number of physical diseases.
Conclusions:Certain physical diseases were identified as risk and/or precipitating factors for anxiety in the elderly. Appropriate intervention and treatment of physical diseases might mitigate the morbidity of anxiety in late-life.

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UCI(KEPA) : I410-ECN-0101-2016-513-002070747