Magazine article American Nurse Today

Generalized Anxiety Disorder Is Three Times More Likely among Older Adults with COPD

Magazine article American Nurse Today

Generalized Anxiety Disorder Is Three Times More Likely among Older Adults with COPD

Article excerpt

Older adults with COPD who were exposed to parental domestic violence in childhood were five times more likely to have generalized anxiety disorder. Posted on February 3, 2016

Toronto, ON--The prevalence of past-year generalized anxiety disorder (GAD) for adults aged 50 and older with chronic obstructive pulmonary disease (COPD) is much higher compared to older adults without COPD (5.8% vs 1.7%), according to a new study published by University of Toronto researchers.

In a paper published online this week in COPD: Journal of Chronic Obstructive Pulmonary Disease, investigators reported that individuals with COPD had over three times the odds of generalized anxiety disorder compared to those without. (COPD is an umbrella term for several chronic lung diseases including emphysema and chronic bronchitis.) Sleep problems, chronic pain, and functional limitations, partially explained some of this excess risk for anxiety among those with COPD compared to those without. "Even after accounting for 18 possible risk factors for GAD, individuals with COPD still had 70% higher odds of GAD compared to those without COPD," said lead author, Professor Esme Fuller-Thomson, Sandra Rotman Endowed Chair at the University of Toronto's Factor-Inwentash Faculty of Social Work and Institute for Life Course & Aging.

The study was based upon a representative sample of 11,163 Canadians aged 50 and over drawn from the 2012 Canadian Community Health Survey. More than 700 of these older adults reported that they had been diagnosed by a health professional with COPD. COPD is now the third leading cause of death in the US.

The study also investigated predictors of generalized anxiety disorders specifically among the older adults in the sample who had COPD. Key risk factors for GAD among those with COPD included lack of social support and exposure to parental domestic violence during the older adults' childhood. Older adults who do not have a confidant available for important decisions had more than seven times the odds of having anxiety in comparison to those with a confidant. …

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