Impact of Anxiety and Depression on Physical Health Condition and Disability in an Elderly Korean Population.

Psychiatry Investig 2017 May 16;14(3):240-248. Epub 2017 May 16.

Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.

Objective: This study aimed to investigate the longitudinal effects of anxiety, depression, and their comorbidity on physical disorders and disability in an elderly Korean population.

Methods: In total, 1,204 community-dwelling elders were evaluated at baseline, and of these 909 (75%) were re-assessed two years later. Anxiety and depression were identified at baseline using questions from the community version of the Geriatric Mental State diagnostic schedule (GMS-B3). Participants were assessed for functional disability and for 11 physical disorders both at baseline and at follow-up.

Results: Anxiety alone was associated with the incidence of heart disease, depression alone with the incidence of asthma, and comorbid anxiety and depression with incidence of eyesight problem, persistent cough, asthma, hypertension, heart disease, and gastrointestinal problems. Comorbid anxiety and depression were associated with an increase in the number of physical disorders and the degree of disability during the two-year follow-up, compared to anxiety or depression alone or the absence of anxiety or depression.

Conclusion: Anxiety, depression, and particularly their comorbidity should be assessed in the elderly population considering their longitudinal effects on physical disorders and disability. Future study is required to determine whether interventions aimed at these disorders can mitigate their impacts.

Download full-text PDF

Source
http://dx.doi.org/10.4306/pi.2017.14.3.240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440426PMC
May 2017
53 Reads

Publication Analysis

Top Keywords

anxiety depression
28
physical disorders
16
elderly korean
8
disability elderly
8
anxiety
8
depression comorbidity
8
heart disease
8
disorders disability
8
longitudinal effects
8
depression
8
comorbid anxiety
8
depression incidence
8
disorders
5
physical
5
disability
5
associated increase
4
geriatric mental
4
increase number
4
mental state
4
depression associated
4

References

(Supplied by CrossRef)

Lenze et al.
Depress Anxiety 2001

Kang et al.
Chonnam Med J 2015

Schoevers et al.
Am J Geriatr Psychiatry 2005

Bhattacharya et al.
BMC Psychiatry 2014

Patten et al.
Gen Hosp Psychiatry 2008

Scott et al.
J Affect Disord 2007

Dall et al.
Health Aff (Millwood) 2013

Choi et al.
Am J Geriatr Psychiatry 2014

Brown et al.
Am J Geriatr Psychiatry 2011

El-Gabalawy et al.
Exp Gerontol 2014

Gallo et al.
Psychiatr Serv 1999

Similar Publications