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Anxiety and Depression as Predictive Factors of Quality of Life in Old Age: A Longitudinal Analysis

机译:焦虑和抑郁作为晚年生活质量的预测因素:纵向分析

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Abstract Research on the effect of age in quality of life (QoL) is controversial, and doubts remain if this effect is continuous and if it disappears when controlling for other factors. Most studies have verified the association of health-related factors, such as poor physical health, functional impairment, and depression with lower scores of QoL in old age. But studies that analyse such an association in non-clinical samples through longitudinal analysis and including anxiety as a mental health factor remain very rare. This study relies on data from two waves from the Survey of Health, Ageing and Retirement in Europe (SHARE) and focuses on a representative sample of individuals aged 50 from Portugal. It comprises 1782 participants (baseline), of which 1201 were reassessed. The mean age was 64.8 years (sd=9.3 years) and 55.4% were female. Linear Mixed Effects models were performed to identify potential factors associated with changes of QoL across age. According with the final model (pseudo-R2 equal to 0.421), a significant effect of age as time-dependent factor was verified, observing a decline of QoL with increasing age. Years of education, depression and anxiety at baseline were significantly associated with QoL. Thus, the effect of age on quality of life remains significant even when other factors are considered. The influence of mental health on QoL reinforces the importance of intervening in both depressive and anxiety symptoms in old age.
机译:摘要对生活质量(QOL)的效果(QOL)效果的研究是争议的,如果这种效果是连续的,如果这种效果在控制其他因素时消失,则留下疑虑。大多数研究已经验证了与健康相关因素的协会,如差的身体健康,功能性障碍和抑郁症,老年人的评分较低。但通过纵向分析分析非临床样本中的这种关联的研究,包括焦虑,因为心理健康因素仍然非常罕见。本研究依赖于欧洲(份额)的健康,老龄化和退休调查的两波浪的数据,并侧重于葡萄牙50岁的人的代表性样本。它包括1782名参与者(基线),其中重新评估了1201个。平均年龄为64.8岁(SD = 9.3岁)和55.4%是女性。进行线性混合效果模型,以识别与跨年龄的QOL变化相关的潜在因素。根据最终模型(伪r2等于0.421),验证了年龄的年龄的显着效果,验证了随着年龄越来越多的QOL的下降。基线的多年的教育,抑郁和焦虑与QOL显着相关。因此,即使考虑其他因素,年龄对生活质量的影响仍然很大。心理健康对QOL的影响加强了晚年抑郁和焦虑症状中干预的重要性。

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