The association of late-life depression and anxiety with physical disability -: A review of the literature and prospectus for future research

被引:452
作者
Lenze, EJ [1 ]
Rogers, JC [1 ]
Martire, LM [1 ]
Mulsant, BH [1 ]
Rollman, BL [1 ]
Dew, MA [1 ]
Schulz, R [1 ]
Reynolds, CF [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Intervention Res Ctr Late Life Mood Disorders, Dept Psychiat, Pittsburgh, PA 15213 USA
关键词
D O I
10.1176/appi.ajgp.9.2.113
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Depression and anxiety disorders are associated with excess disability. The authors searched the recent geriatric literature for studies associating late-life depression or anxiety with physical disability Studies showed depression in old age to be an independent risk factor for disability; similarly, disability was found to be a risk factor for depression. Anxiety, in late life was also found to be a risk factor for disability,, although not necessarily independently of depression. Increased disability, due to depression is only partly! explained by differences in socioeconomic measures, medical conditions, and cognition. Physical disability, improves with treatment for depression; comparable studies hare not been done for anxiety! The authors discuss how these findings inform current concepts of physical disability and discuss the implications for future intervention studies of late-life depression and anxiety disorders.
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收藏
页码:113 / 135
页数:23
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