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Prevalence of Anxiety Disorders and Comorbid Affective Disorders in the Elderly of Castellana Grotte (italy).

Published online by Cambridge University Press:  15 April 2020

M. Lozupone ,
F. Veneziani ,
L. Lofano ,
D. Montalbò ,
I. Galizia ,
M.R. Barulli ,
R. Tortelli ,
C. Bonfiglio ,
O. Todarello  and
G. Logroscino
M. Lozupone
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
F. Veneziani
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
L. Lofano
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
D. Montalbò
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
I. Galizia
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
M.R. Barulli
Affiliation:
Neuodegenerative Disease Unit Pia Fondazione Card. G Panico, University of Bari, Tricase (LE), Italy
R. Tortelli
Affiliation:
Neuodegenerative Disease Unit Pia Fondazione Card. G Panico, University of Bari, Tricase (LE), Italy
C. Bonfiglio
Affiliation:
Epidemiology and Biostatistics, I.R.C.C.S. De Bellis, Castellana Grotte (BA), Italy
O. Todarello
Affiliation:
Basic Medical Sciences Neurosciences and Sense Organs, University of Bari, Bari, Italy
G. Logroscino
Affiliation:
Neuodegenerative Disease Unit Pia Fondazione Card. G Panico, University of Bari, Tricase (LE), Italy

Abstract

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Introduction

The prevalence of Anxiety Disorders (ADs) among the elderly (65 plus) varies across studies, because of differences in diagnostic criteria's definition and the heterogeneity of clinical presentation. Furthermore the comorbidity of anxiety with affective disorders is controversial.

Objectives

Estimate the prevalence of ADs in 65 years plus subjects in a random sampling of the general population and provide current estimates of comorbidity with affective disorders.

Methods

The sample was collected in the Great Age study, a population-based study conducted in a random sampling of the elderly residents in Castellana, South-East Italy. It includes 719 participants (56,33% males). Through the SCID-IVTR interview performed by a psychiatrist, ADs diagnosis and classification in subtypes (phobia, generalized anxiety disorder, OCD, panic disorder, post-traumatic stress disorder, adjustment disorder and AD nos) were assessed.

Results

The 30,25% of females and 15,30% of males were positive for any DSM-VI disorder. The ADs prevalence was 10,43% (14,97% of women; 6,91% of men; mean age at interview 72 years). Rates prevalence in 65-74 age stratum was 11,78%; 8,1% in 75-84 and 10,26% in the oldest age. The ADs were classified as phobia (1,49%), GAD (2,22%), OCD (0,28%), panic disorder (0,7%), PTSD (0,55%), adjustment disorder (1,67%) and AD nos (3,75%). 21,33% of the ADs had apparently new-onset (Late OnsetADs). Affective disorders occur in 25,33% of ADs.

Conclusions

The prevalence rates of ADs in late life tend to decline, but remain the most common psychiatric disorders, especially in women. Anxiety co-occurs with affective disorders in similar rate to Late OnsetADs.

Founding: PRIN2009E4RM4Z

Type
Article: 0443
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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