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- Title
RELATIONSHIP BETWEEN THE EXPERIENCE OF DEATH OR SERIOUS INJURY/ILLNESS AND THE PRESENCE OF DSM-IV CRITERIA-BASED GENERALIZED ANXIETY AMONG OLDER ADULTS.
- Authors
Schmidt, Ryan N.; Jong Deuk Baek
- Abstract
Since 1900, the percentage of Americans 65+ has tripled (from 4.1% in 1900 to 12.4% in 2006), and the number has increased twelve times. Some type of disability, to include mental disability, was reported by 52% of older persons in 2002. The prevalence of DSM-IV based generalized anxiety and a comprehensive medical measurement is needed given the drastic rise in the elderly population and their propensity to experience environmental death and/or serious illness and injury (DSI/I). To analyze the likelihood of having DSM-IV criteria-based generalized anxiety when experiencing DSI/I of a family member or close friend within the last twelve months. Specifically, this study utilized a medical model approach by positively screening the elderly sample while utilizing the exact criteria as outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). This study is a cross sectional study and secondary data analysis of the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). A stratified sampling design was required to evaluate those within the NESARC data set who were 65 years of age or older. The data was initially processed with SAS in conjunction with SAS callable SUDAAN to account for the complex design of the survey. Frequency distributions were completed for independent variables by generalized anxiety diagnosis criteria. Bivariate analyses were used to compare DSM-IV criteria-based major depression diagnosis with the independent variables. Multivariate analyses were conducted to assess the relationship between the outcome variables and independent variables while adjusting for covariates. Older persons who had experienced either DSI/I of a close family member or friend within the past 12 months were no more likely to have generalized anxiety than those who did not experience DSI/I of a close family member or friend within the past 12 months. Similarly, older persons who had experienced both DSI/I of a close family member or friend within the past 12 months were no more likely to have generalized anxiety than those who did not experience DSI/I of a close family member or friend within the past 12 months. DSI/I were inconsistent throughout the multivariate analysis when utilizing modeling procedures and controlling for effects associated with demographics, resources, heritage, and symptoms (Table 3). The DSI/I and its environmental effects on the older population are apparent while diagnosable accounts of DSM-IV criteria-based generalized anxiety remain insignificant for those who experience DSI/I. The mixed findings between Models 1-5 suggest that further research is needed given the limited sample size and the variation in results for generalized anxiety within the elderly population and DSI/I.
- Subjects
GENERALIZED anxiety disorder; NEUROSES in old age; DISEASE prevalence; LOSS (Psychology) in old age; DIAGNOSIS of mental depression; MULTIVARIATE analysis
- Publication
International Journal of Social Health Information Management, 2012, Vol 5, Issue 12, p8
- ISSN
1942-9665
- Publication type
Article