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Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment.
Am J Geriatr Psychiatry. 2008 Mar; 16(3):201-8.AJ

Abstract

OBJECTIVE

Very little epidemiological work has examined comorbidity between depression and anxiety disorders in community-dwelling older adults, despite the fact these disorders are known to co-occur in younger adults and that this co-occurrence is associated with greater clinical severity. In this study, the authors examine psychiatric comorbidity and associated impairment of four disorders (major depression, panic disorder, social phobia, and agoraphobia) in a community-based sample of adults aged 55 and older.

SETTING

Population-based sample of older adults (N=12,792) from the Canadian Community Health Survey-Mental Health and Well-Being (CCHS 1.2).

METHOD

The World Mental Health Composite International Diagnostic Interview was used to identify cases of 12-month disorder. Descriptive analysis and regression analysis is used to examine patterns of association between disorders and related impairment.

RESULTS

Among adults aged 55 years and older, 4.4% met the criteria for at least one disorder and 0.8% had two or more. Social phobia was the most common comorbid disorder among respondents with depression, and depression was the most common comorbid disorder among respondents with any of the anxiety disorders. Respondents who report comorbid disorders reported significantly lower well-being and greater impairment.

CONCLUSION

Although comorbidity between physical health conditions and depression, and between dementias and depression, are well documented among older adults, these results suggest that comorbid depression and anxiety are also prevalent in later life. The significant impact of comorbidity on function and well-being underlines the need to screen for comorbid disorders in this population.

Authors+Show Affiliations

Health Systems Research and Consulting Unit, Centre for Addiction and Mental Health, Department of Psychiatry, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, ON. john_cairney@camh.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18310551

Citation

Cairney, John, et al. "Comorbid Depression and Anxiety in Later Life: Patterns of Association, Subjective Well-being, and Impairment." The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, vol. 16, no. 3, 2008, pp. 201-8.
Cairney J, Corna LM, Veldhuizen S, et al. Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment. Am J Geriatr Psychiatry. 2008;16(3):201-8.
Cairney, J., Corna, L. M., Veldhuizen, S., Herrmann, N., & Streiner, D. L. (2008). Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment. The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 16(3), 201-8. https://doi.org/10.1097/JGP.0b013e3181602a4a
Cairney J, et al. Comorbid Depression and Anxiety in Later Life: Patterns of Association, Subjective Well-being, and Impairment. Am J Geriatr Psychiatry. 2008;16(3):201-8. PubMed PMID: 18310551.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment. AU - Cairney,John, AU - Corna,Laurie M, AU - Veldhuizen,Scott, AU - Herrmann,Nathan, AU - Streiner,David L, PY - 2008/3/4/pubmed PY - 2008/6/6/medline PY - 2008/3/4/entrez SP - 201 EP - 8 JF - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry JO - Am J Geriatr Psychiatry VL - 16 IS - 3 N2 - OBJECTIVE: Very little epidemiological work has examined comorbidity between depression and anxiety disorders in community-dwelling older adults, despite the fact these disorders are known to co-occur in younger adults and that this co-occurrence is associated with greater clinical severity. In this study, the authors examine psychiatric comorbidity and associated impairment of four disorders (major depression, panic disorder, social phobia, and agoraphobia) in a community-based sample of adults aged 55 and older. SETTING: Population-based sample of older adults (N=12,792) from the Canadian Community Health Survey-Mental Health and Well-Being (CCHS 1.2). METHOD: The World Mental Health Composite International Diagnostic Interview was used to identify cases of 12-month disorder. Descriptive analysis and regression analysis is used to examine patterns of association between disorders and related impairment. RESULTS: Among adults aged 55 years and older, 4.4% met the criteria for at least one disorder and 0.8% had two or more. Social phobia was the most common comorbid disorder among respondents with depression, and depression was the most common comorbid disorder among respondents with any of the anxiety disorders. Respondents who report comorbid disorders reported significantly lower well-being and greater impairment. CONCLUSION: Although comorbidity between physical health conditions and depression, and between dementias and depression, are well documented among older adults, these results suggest that comorbid depression and anxiety are also prevalent in later life. The significant impact of comorbidity on function and well-being underlines the need to screen for comorbid disorders in this population. SN - 1064-7481 UR - https://www.unboundmedicine.com/medline/citation/18310551/Comorbid_depression_and_anxiety_in_later_life:_patterns_of_association_subjective_well_being_and_impairment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/16/3/201 DB - PRIME DP - Unbound Medicine ER -