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Chapter 2 - Epidemiology, Risk and Protective Factors

Published online by Cambridge University Press:  08 March 2021

By
Gerard J. Byrne  and
Nancy A. Pachana
Edited by
Gerard J. Byrne  and
Nancy A. Pachana
Gerard J. Byrne
Affiliation:
University of Queensland
Nancy A. Pachana
Affiliation:
University of Queensland
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Summary

Anxiety disorders in later life have historically been overshadowed by strong clinical and epidemiological interest in mood disorders and cognitive disorders. This chapter reviews the key scientific literature on the epidemiology of anxiety disorders in older people and putative risk and protective factors.

Type
Chapter
Information
Anxiety in Older People
Clinical and Research Perspectives
 , pp. 10 - 19
Publisher: Cambridge University Press
Print publication year: 2021

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References

Almeida, O. P., Draper, B., Pirkis, J., et al. (2012). Anxiety, depression, and comorbid anxiety and depression: risk factors and outcome over two years. International Psychogeriatrics, 24(10), 1622–1632.Google Scholar
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Washington, DC: American Psychiatric Association.Google Scholar
Andreas, S., Schulz, H., Volkert, J., et al. (2017). Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study. British Journal of Psychiatry, 210(2), 125–131.Google Scholar
Asnaani, A., Richey, J. A., Dimaite, R., Hinton, D. E. and Hofmann, S. G. (2010). A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders. Journal of Nervous and Mental Disorders, 198, 551–555.Google Scholar
Baxter, A. J., Scott, K. M., Vos, T. and Whiteford, H. A. (2013). Global prevalence of anxiety disorders: a systematic review and meta-regression. Psychological Medicine, 43(5), 897–910.Google Scholar
Baxter, A. J., Vos, T., Scott, K. M., Ferrari, A. J. and Whiteford, H. A. (2014). The global burden of anxiety disorders in 2010. Psychological Medicine, 44, 2363–2374.Google Scholar
Beekman, A. T., Bremmer, M. A., Deeg, D. J., et al. (1998). Anxiety disorders in later life: a report from the Longitudinal Aging Study Amsterdam. International Journal of Geriatric Psychiatry, 13(1), 717–726.Google Scholar
Breslau, J., Aguilar-Gaxiola, S., Borges, G., Kendler, K. S., Su, M. and Kessler, R. C. (2007). Risk for psychiatric disorder among immigrants and their US-born descendants: evidence from the National Comorbidity Survey – Replication. Journal of Nervous and Mental Disorders, 195, 189–195.Google Scholar
Bryant, C., Jackson, H. and Ames, D. (2008). The prevalence of anxiety in older adults: methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233–250.Google Scholar
Byers, A. L., Yaffe, K., Covinsky, K. E., Friedman, B. M. and Bruce, M. L. (2010). High occurrence of mood and anxiety disorders among older adults: the National Comorbidity Survey Replication. Archives of General Psychiatry, 67(5), 489–496.Google Scholar
Byrne, G. J. (2013). Anxiety disorders in older people. In Denning, T and Thomas, A, eds., The Oxford Textbook of Old Age Psychiatry, 2nd ed. Oxford: Oxford University Press, pp. 589–602.Google Scholar
Canuto, A., Weber, K., Bartschi, M., et al. (2018). Anxiety disorders in old age: psychiatric comorbidities, quality of life, and prevalence according to age, gender, and country. American Journal of Geriatric Psychiatry, 26(2), 174–185.Google Scholar
Chou, K. L., Mackenzie, C. S., Liang, K. and Sareen, J. (2011). Three-year incidence and predictors of first-onset of DSM-IV mood, anxiety, and substance use disorders in older adults: results from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 72(2), 144–155.Google Scholar
Copeland, J. and Dewey, M. (1999). The AGECAT system. www.researchgate.net/publication/2512924_The_AGECAT_system (last accessed 24 July 2018).Google Scholar
Creighton, A. S., Davison, T. E. and Kissane, D. W. (2016). The prevalence of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review. International Journal of Geriatric Psychiatry, 31(6), 555–566.Google Scholar
Dissanayaka, N. N., Sellbach, A., Matheson, S., et al. (2010). Anxiety disorders in Parkinson’s disease: prevalence and risk factors. Movement Disorders, 25(7), 838–845.Google Scholar
Fung, A. W., Chan, W. C., Wong, C. S., et al. (2017). Prevalence of anxiety disorders in community dwelling older adults in Hong Kong. International Psychogeriatrics, 29(2), 259–267.Google Scholar
Gonçalves, D. C. and Byrne, G. J. (2012). Sooner or later: age at onset of generalized anxiety disorder in older adults. Depression & Anxiety, 29(1), 39–46.Google Scholar
Gonçalves, D. C. and Byrne, G. J. (2013). Who worries most? Worry prevalence and patterns across the lifespan. International Journal of Geriatric Psychiatry, 28(1), 41–49.Google Scholar
Gonçalves, D. C., Pachana, N. P. and Byrne, G. J. (2011). Prevalence and correlates of generalized anxiety disorder among older adults in the Australian National Survey of Mental Health and Well-Being. Journal of Affective Disorders, 132, 223–230.Google Scholar
Grenier, S., Préville, M., Boyer, R., et al. (2011). The impact of DSM-IV symptom and clinical significance criteria on the prevalence estimates of subthreshold and threshold anxiety in the older adult population. American Journal of Psychiatry, 19(4), 316–326.Google Scholar
Gulpers, B., Ramakers, I., Hamel, R., Kohler, S., Oude Voshaar, R. and Verhey, F. (2016). Anxiety as a predictor for cognitive decline and dementia: a systematic review and meta-analysis. American Journal of Geriatric Psychiatry, 24(10), 823–842.Google Scholar
Hermans, H., Beekman, A. T. and Evenhuis, H. M. (2014). Comparison of anxiety as reported by older people with intellectual disabilities and by older people with normal intelligence. American Journal of Geriatric Psychiatry, 22(12), 1391–1398.Google Scholar
Hofmann, S. G. and Hinton, D. E. (2014). Cross-cultural aspects of anxiety disorders. Current Psychiatry Reports, 16(6), 450.Google Scholar
Kang, H. J., Bae, K. Y., Kim, S. W., Shin, I. S., Yoon, J. S. and Kim, J. M. (2016). Anxiety symptoms in Korean elderly individuals: a two-year longitudinal community study. International Psychogeriatrics, 28(3), 423–433.Google Scholar
Li, X. X. and Li, Z. (2017). The impact of anxiety on the progression of mild cognitive impairment to dementia in Chinese and English databases: a systematic review and meta-analysis. International Journal of Geriatric Psychiatry, 33(1), 131–140.Google Scholar
Lindesay, J., Briggs, K. and Murphy, E. (1989). The Guy’s/Age Concern survey. Prevalence rates of cognitive impairment, depression and anxiety in an urban elderly community. British Journal of Psychiatry, 155, 317–329.Google Scholar
Mackenzie, C. S., El-Gabalawy, R., Chou, K. L. and Sareen, J. (2014). Prevalence and predictors of persistent versus remitting mood, anxiety, and substance disorders in a national sample of older adults. American Journal of Psychiatry, 22(9), 854–865.Google Scholar
Miloyan, B., Byrne, G. J. and Pachana, N. A. (2014). Age-related changes in generalized anxiety disorder symptoms. International Psychogeriatrics, 26(4), 565–572.Google Scholar
Miloyan, B., Bulley, A., Pachana, N. A. and Byrne, G. J. (2014). Social phobia symptoms across the adult lifespan. Journal of Affective Disorders, 16, 86–90.Google Scholar
Préville, M., Boyer, R., Vasiliadis, H. M., et al. (2010). Scientific Committee of the ESA Study. One-year incidence of psychiatric disorders in Quebec’s older adult population. Canadian Journal of Psychiatry, 55(7), 449–457.Google Scholar
Prina, A. M., Ferri, C. P., Guerra, M., Brayne, C. and Prince, M. (2011). Prevalence of anxiety and its correlates among older adults in Latin America, India and China: cross-cultural study. British Journal of Psychiatry, 199(6), 485–491.Google Scholar
Reynolds, K., Pietrzak, R. H., El-Gabalawy, R., Mackenzie, C. S. and Sareen, J. (2015). Prevalence of psychiatric disorders in U.S. older adults: findings from a nationally representative survey. World Psychiatry, 14(1), 74–81.Google Scholar
Schuurmans, J., Comijs, H. C., Beekman, A. T., et al. (2005). The outcomes of anxiety disorders in older people at 6-year follow-up: results from the Longitudinal Aging Study Amsterdam. Acta Psychiatrica Scandinavica, 111(6), 420–428.Google Scholar
Vancampfort, D., Koyanagi, A., Hallgren, M., Probst, M. and Stubbs, B. (2017). The relationship between chronic physical conditions, multimorbidity and anxiety in the general population: a global perspective across 42 countries. General Hospital Psychiatry, 45, 1–6.Google Scholar
Ware, J. E. J., Kosinski, M. and Keller, S. D. (1996). A 12-item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.Google Scholar
World Health Organization (2018). International Classification of Diseases, 11th revision. Geneva: World Health Organization Press.Google Scholar
Zhang, X., Norton, J., Carriere, I., Ritchie, K., Chaudieu, I. and Ancelin, M. L. (2015). Risk factors for late-onset generalized anxiety disorder: results from a 12-year prospective cohort (the ESPIRT study). Translational Psychiatry, 5, e536.Google Scholar

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