Social activity and participation as determinants of anxiety and depression among elderly in primary care
© Grammatikopoulos and Koutentakis; licensee BioMed Central Ltd. 2009
Published: 22 April 2010
Aim of this study was to investigate anxiety disorders and depression among members of one Open Care Centre for the Elderly (KAPI) in Crete-Greece, in correlation with their activity and participation levels.
Materials and methods
A cross-sectional study was designed and 132 aged (≥65) participated. All participants were members of the KAPI from a rural district in Crete, Greece. Data were collected with face-to-face interviews. Social activity and levels of participation in KAPI were examined. The Short Anxiety Screening Test (SAST) and the Geriatric Depression Scale (GDS-15) was used to assess anxiety disorders and depression respectively. Univariate and multivariate regression models used to determine the factors which correlate with these disorders.
132 aged (mean age 75.7 years) participated. 18,2% had minor depression (GDS ≥ 7) and 8,3% moderate to severe depression (GDS ≥ 11), while 17,4% (6,8% men vs 26,4% women) had an anxiety disorder according to SAST (≥24). According to univariate regression models, increasing age, female gender and the absence or minor participation in KAPI were associated with higher risk of depression; low levels of participation in KAPI and female gender were associated with higher risk of anxiety.
Our findings document the association of higher prevalence of anxiety and depression in elderly with limited social activity in primary care centres, and especially affect more women and aged in widowhood. These determinants of isolation should be factors of mental health prevention management in primary care.
- Fountoulakis K, Tsolaki M, Iacovedes A, Yesavage J, O'Hara R, Kazis A, Ierodiakonou C: The validation of the short form of the Geriatric Depression Scale (GDS) in Greece. Aging (Milano). 1999, 11: 367-372.Google Scholar
- Sinoff G, Ore L, Zlotogorsky D, Tamir A: Short Anxiety Screening Test--a brief instrument for detecting anxiety in the elderly. Int J Geriatr Psychiatry. 1999, 14 (12): 1062-1071. 10.1002/(SICI)1099-1166(199912)14:12<1062::AID-GPS67>3.0.CO;2-Q.View ArticlePubMedGoogle Scholar
- Wittchen HU, Kessler RC, Beesdo K, Krause P, Höfler M, Hoyer J: Generalized anxiety and depression in primary care: prevalence, recognition, and management. J Clin Psychiatry. 2002, 63 (8): 24-34.PubMedGoogle Scholar
- Papadopoulos FC, Petridou E, Argyropoulou S, Kontaxakis V, Dessypris N, Anastasiou A, Katsiardani KP, Trichopoulos D, Lyketsos C: Prevalence and correlates of depression in late life: a population based study from a rural Greek town. Int J Geriatr Psychiatry. 2005, 20: 350-357. 10.1002/gps.1288.View ArticlePubMedGoogle Scholar
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