To review the major community-based epidemiological studies that have reported data on anxiety disorders in individuals aged 65 and over and to examine age-related changes in their prevalence and incidence.
All English language entries relating to anxiety in the BIDS, EMBASE, Medline and PsychLit computerized databases, together with a search of relevant citations.
The prevalence of phobic disorders in the population aged 65 or over lies between 0.7% and 12% over a 1-6-month period.
As the rates for social phobia, 1%, and simple phobia, 4%, are fairly consistent, much of this variation is due to agoraphobia, whose prevalence lies between 1.4% and 7.9%. The prevalence of obsessive-compulsive disorder is 0.1-0.8%, panic disorder 0.1% and generalized anxiety 4%. Women do have a higher prevalence of anxiety disorders than men but this difference diminishes with increasing age, as does the apparent prevalence of all anxiety disorders apart from generalized anxiety, measured without hierarchical rules, which appears to be maintained or increase.
The relative importance of various explanations for this apparent reduction is discussed, including the three that are of greatest public health and clinical importance : cohort effects, anxiety-related mortality and comorbidity between anxiety and cognitive impairment. (...)
Mots-clés Pascal : Obsession compulsion, Panique, Trouble anxiété généralisée, Phobie, Prévalence, Incidence, Epidémiologie, Article synthèse, Vieillard, Homme, Trouble anxieux
Mots-clés Pascal anglais : Obsessive compulsive disorder, Panic, Generalized anxiety disorder, Phobia, Prevalence, Incidence, Epidemiology, Review, Elderly, Human, Anxiety disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0142875
Code Inist : 002B18E. Création : 21/07/1998.