Biopsychosocial factors associated with depression and anxiety in older adults with intellectual disability: results of the wave 3 Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing

2020 ◽  
Vol 64 (5) ◽  
pp. 368-380
Author(s):  
L. Bond ◽  
R. Carroll ◽  
N. Mulryan ◽  
M. O'Dwyer ◽  
J. O'Connell ◽  
...  
Author(s):  
Mary McCarron ◽  
Marie O'Dwyer ◽  
Eilish Burke ◽  
Eimear McGlinchey ◽  
Philip McCallion

Abstract There are limited studies on the prevalence of epilepsy and co-morbid conditions in older adults with an ID. To begin to address this prevalence of epilepsy was estimated for participants in the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing. Associations with demographic variables and co morbid health conditions were examined. It was found that prevalence was high (30.7%); but declined as people aged. Those with epilepsy were less likely to live with family, independently or in community settings, rates of refractory epilepsy were high and, despite medication over half of those with epilepsy still reported experiencing seizures. Given these findings, people with ID and their careers have considerable needs for information about epilepsy management, and for support from specialist ID and epilepsy services.


2019 ◽  
Vol 32 (9) ◽  
pp. 1120-1132 ◽  
Author(s):  
Hai Nguyen ◽  
Kia-Chong Chua ◽  
Alexandru Dregan ◽  
Silia Vitoratou ◽  
Ivet Bayes-Marin ◽  
...  

Objective: We aimed to identify the patterns of multimorbidity in older adults and explored their association with sociodemographic and lifestyle risk factors. Method: The sample included 9,171 people aged 50+ from Wave 2 of the English Longitudinal Study of Aging (ELSA). Latent Class Analysis (LCA) was performed on 26 chronic diseases to determine clusters of common diseases within individuals and their association with sociodemographic and lifestyle risk factors. Result: Three latent classes were identified: (a) a cardiorespiratory/arthritis/cataracts class, (b) a metabolic class, and (c) a relatively healthy class. People aged 70 to 79 were 9.91 times (95% Confidence Interval [CI] = [5.13, 19.13]) more likely to be assigned to the cardiorespiratory/arthritis/cataracts class, while regular drinkers and physically inactive people were 0.33 times (95% CI = [0.24, 0.47]) less likely to be assigned to this class. Conclusion: Future research should investigate these patterns further to gain more insights into the needs of people with multimorbidity.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S512-S512
Author(s):  
Mingyang Zheng ◽  
Xian Liu

Abstract Depression among older adults in China is widespread. To explore factors associated with depression among older adults, most studies focus on the individual as the unit of analysis. However, since individuals are nested in families, it is important to understand depression within a family context. To address this gap, the current study examines the degree to which individual and dyad-level characteristics were associated with the severity of depression among older couples in China. Data for the study were drawn from wave 4 of the China Health and Retirement Longitudinal Study. The total sample size in the study was 2560 older couples aged 60 and above. Multilevel modeling was used to analyze the dyadic data. Our preliminary findings suggested the partial intraclass correlation between a dyad’s depression scores was 0.32, which shows that a couple’s scores were similar to one another. Those who were female, were younger, lived in rural areas, had lower cognition, and those whose spouses had lower cognitive ability were associated with more severe depression. The findings provided empirical evidence to support the argument that more community mental health resources should be allocated to rural areas in China. Moreover, given that female older adults are more vulnerable to depression compared to male older adults, it is imperative to develop tailored services to support women to enhance their psychological wellbeing. In addition, as spousal cognition was negatively correlated with depression, services to support older couples where one has dementia are needed.


2016 ◽  
Vol 12 (24) ◽  
pp. 1
Author(s):  
Raquel E. Gonzalez ◽  
Magy Martin ◽  
Don Martin

Older adults of Mexican origin are often underserved, especially those residing in nursing homes. The purpose of this study was to examine if there was a relationship among risk factors associated with depression and anxiety in older adults of Mexican origin. Using a quantitative correlational design, the relationships were assessed with a demographic questionnaire, the Geriatric Depression Scale (GDS), and the Beck Anxiety Inventory (BAI). A sample of 150 elders of Mexican origin residing in nursing homes in a Texas–Mexico border city were examined using two multiple regression analyses. Data analysis indicated that there was a relationship between risk factors associated with depression and anxiety. Data from this study confirmed that a high score on ADLs predicted greater depression and anxiety while female gender predicted higher anxiety and frequent family support predicted low anxiety.


2020 ◽  
Author(s):  
Frank Moriarty ◽  
Alan Barry ◽  
Rose Anne Kenny ◽  
Tom Fahey

Background Aspirin use for cardiovascular indications is widespread despite evidence not supporting use in patients without cardiovascular disease (CVD). This study characterises aspirin prescribing among people aged ≥50 years in Ireland for primary and secondary prevention, and factors associated with prescription. Methods This cross-sectional study includes participants from wave 3 (2014-2015) of The Irish Longitudinal Study on Ageing. We identified participants reporting use of prescribed aspirin, other antiplatelets/anticoagulants, and doctor-diagnosed CVD (MI, angina, stroke, TIA) and other cardiovascular conditions. We examined factors associated with aspirin use for primary and secondary prevention in multivariate regression. For a subset, we also examined 10-year cardiovascular risk (using the Framingham general risk score) as a predictor of aspirin use. Results Among 6,618 participants, the mean age was 66.9 years (SD 9.4) and 55.6% (3,679) were female. Prescribed aspirin was reported by 1,432 participants (21.6%), and 77.6% of aspirin users had no previous CVD. Among participants with previous CVD, 17% were not prescribed aspirin/another antithrombotic. This equates to 201,000 older adults nationally using aspirin for primary prevention, and 16,000 with previous CVD not prescribed an antithrombotic. Among those without CVD, older age, male sex, free health care, and more GP visits were associated with aspirin prescribing. Cardiovascular risk was significantly associated with aspirin use (adjusted relative risk 1.15, 95%CI 1.08-1.23, per 1% increase in cardiovascular risk). Conclusion Almost four-fifths of people aged ≥50 years on aspirin have no previous CVD, equivalent to 201,000 adults nationally, however prescribing appears rational in targeting higher cardiovascular risk patients.


2020 ◽  
Vol 6 (4) ◽  
pp. 421-431
Author(s):  
A Akinsulore ◽  
OC Adeseiye ◽  
IO Oloniniyi ◽  
OA Esimai

Background: Depression and anxiety are common mental disorders that frequently occur in the elderly. When they co-exist, it is known as comorbid depression and anxiety. Objective: To assess the prevalence and factors associated with comorbid depression and anxiety symptoms among older adults in western Nigeria. Methods: This is a community-based, cross-sectional descriptive survey conducted among 328 consenting older adults. The Geriatric Depression Scale-Short Form (GDS-SF) and Generalized Anxiety Disorder-7 (GAD-7) questionnaires were administered to assess depressive and anxiety symptoms. Socio-demographic information was obtained using a separate questionnaire. Results: The mean age of the participants was 70.1 years (SD = 9.2). Sixty per cent of the respondents were females and 58% were married.  The prevalence of comorbid depression and anxiety was 6.0% (2.4% in men and 6.6% in women) and 13% had depression-only while 19.9% had anxiety-only. Socio-demographic factors significantly associated with comorbid depression and anxiety included living alone (p = 0.001) and being not married (p = 0.028). However, only living alone (p = 0.015, OR = 1.79, 95% CI = 1.41- 25.36) independently predicted comorbid depression and anxiety symptoms among older adults. Conclusion: Although the prevalence rates of “depression only” and “anxiety only” were higher among older adults, comorbid depression and anxiety was also prevalent in later life and living alone is a significant predictor. Therefore, there is a need to increase the recognition and treatment of comorbid depression and anxiety in older adults.


2021 ◽  
Vol 12 ◽  
Author(s):  
Shizhen Wu ◽  
Keshun Zhang ◽  
Elizabeth J. Parks-Stamm ◽  
Zhonghui Hu ◽  
Yaqi Ji ◽  
...  

Although accumulating evidence suggests the COVID-19 pandemic is associated with costs in mental health, the development of students' mental health, including the change from their previous levels of depression and anxiety and the factors associated with this change, has not been well-studied. The present study investigates changes in students' anxiety and depression from before the pandemic to during the lockdown and identifies factors that are associated with these changes. 14,769 university students participated in a longitudinal study with two time points with a 6-month interval. Students completed the Anxiety and Depression subscales of the Symptom Checklist 90 (SCL-90) before the COVID-19 outbreak (October 2020, Time 1), and the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) during the pandemic (April 2020, Time 2). The prevalence of anxiety and depression symptoms were 1.44 and 1.46% at Time 1, and 4.06 and 22.09% at Time 2, respectively, showing a 181.94% increase in anxiety and a 1413.01% increase in depression. Furthermore, the increases in anxiety and depression from pre-pandemic levels were associated with students' gender and the severity of the pandemic in the province where they resided. This study contributes to the gap in knowledge regarding changes in students' mental health in response to the pandemic and the role of local factors in these changes. Implications for gender and the Typhoon Eye effect are discussed.


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