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Threshold and Subthreshold Generalized Anxiety Disorder in Later Life

机译:以后生活中的阈值和亚阈值广泛性焦虑症

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Objective: Symptoms and disorders of anxiety are highly prevalent among older adults; however, late-life anxiety disorders remain underdiagnosed. The objective of this study was to (1) estimate the prevalence of late-life threshold and subthreshold generalized anxiety disorder (GAD), (2) examine sociodemographic and health correlates associated with membership in these groups, (3) assess 3-year conversion rates of these groups, and (4) explore characteristics associated with 3-year conversion to GAD. Methods: Using Waves 1 and 2 of the National Epidemiological Survey of Alcohol and Related Conditions, 13,420 participants aged 55-98 years were included in this study. Results: Subthreshold GAD was more highly prevalent than threshold GAD and was interposed between asymptomatic and GAD groups in terms of severity of health characteristics. Although most participants with subthreshold and threshold GAD were asymptomatic by Wave 2, differences in disability persisted. Subthreshold GAD at baseline was not a predictor of threshold GAD at follow-up. Conclusion: These findings suggest that late-life GAD should be conceptualized as a dimensional rather than categorical construct. The temporal stability of anxiety-associated disability further suggests that subthreshold GAD bears clinical significance. However, the suitability and efficacy of interventions for minimizing negative sequelae in this group remain to be determined.
机译:目的:焦虑症的症状和失调在老年人中非常普遍。然而,晚期焦虑症仍未得到充分诊断。这项研究的目的是(1)评估晚期阈值和亚阈值广泛性焦虑症(GAD)的患病率;(2)检查与这些群体成员相关的社会人口统计学和健康相关性;(3)评估3年转化率(4)探索与3年转换为GAD相关的特征。方法:使用《全国酒精及相关疾病流行病学调查》的第一波和第二波,将13420名年龄在55-98岁之间的参与者纳入研究。结果:阈下GAD的发生率高于阈值GAD,并且就健康特征的严重程度而言,介于无症状组和GAD组之间。尽管大多数具有亚阈值和GAD阈值的参与者在Wave 2中无症状,但残疾差异仍然存在。基线时阈下GAD不能预测随访中阈值GAD。结论:这些发现表明,应将晚期GAD概念化为维度而非分类构造。焦虑相关残疾的时间稳定性进一步表明,阈下GAD具有临床意义。然而,该组中使阴性后遗最小化的干预措施的适用性和有效性仍有待确定。

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