Prevalence of anxiety disorders in community dwelling older adults in Hong Kong

Ada Wai Tung Fung; Wai-Chi Chan; Corine Sau-Man Wong; Eric Yu-Hai Chen; Roger Man-Kin Ng; Edwin Ho-Ming Lee; Wing-Chung Chang; Se-Fong Hung; Eric Fuk-Chi Cheung; Pak-Chung Sham; Helen Fung-Kum Chiu; Ming Lam; Tin-Po Chiang; Jim van Os; Joseph Tak-Fai Lau; Glyn Lewis; Paul Bebbington; Linda Chiu Wa Lam; Hong Kong Mental Morbidity Survey

doi:10.1017/S1041610216001617

Prevalence of anxiety disorders in community dwelling older adults in Hong Kong

Ada Wai Tung Fung^*, Wai-Chi Chan, Corine Sau-Man Wong, Eric Yu-Hai Chen, Roger Man-Kin Ng, Edwin Ho-Ming Lee, Wing-Chung Chang, Se-Fong Hung, Eric Fuk-Chi Cheung, Pak-Chung Sham, Helen Fung-Kum Chiu, Ming Lam, Tin-Po Chiang, Jim van Os, Joseph Tak-Fai Lau, Glyn Lewis, Paul Bebbington, Linda Chiu Wa Lam, Hong Kong Mental Morbidity Survey

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background: Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.

Method: Data on 1,158 non-demented respondents aged 60-75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).

Result: One hundred and thirty-seven respondents (11.9%, 95% CI = 10-13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5-9.6%) had anxiety, 2.2% (95% CI = 1.3-3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1-2.5%) had depression. Anxious individuals were more likely to be females (.2 = 25.3, p <0.001), had higher chronic physical burden (t=-9.3, p <0.001), lower SF-12 physical functioning score (t = 9.2, p <0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C. I. 1.7-4.6, p <0.001) and those with physical illnesses (OR 1.4, 95% C. I. 1.3-1.6, p <0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C. I. 1.2-2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C. I. 1.5-2.7, p <0.001), and genitourinary system (OR 2.0, 95% C. I. 1.3-3.2, p = 0.002).

Conclusions: The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.

Original language	English
Pages (from-to)	259-267
Number of pages	9
Journal	International Psychogeriatrics
Volume	29
Issue number	2
DOIs	https://doi.org/10.1017/S1041610216001617
Publication status	Published - Feb 2017

Keywords

prevalence
anxiety disorders
community
older adults
memory
cognitive function
early sign
mental health
LATE-LIFE DEPRESSION
MYOCARDIAL-INFARCTION
SYMPTOMS
POPULATION
DECLINE
SCALE

Access to Document

10.1017/S1041610216001617

Cite this

Fung, A. W. T., Chan, W.-C., Wong, C. S.-M., Chen, E. Y.-H., Ng, R. M.-K., Lee, E. H.-M., Chang, W.-C., Hung, S.-F., Cheung, E. F.-C., Sham, P.-C., Chiu, H. F.-K., Lam, M., Chiang, T.-P., van Os, J., Lau, J. T.-F., Lewis, G., Bebbington, P., Lam, L. C. W., & Hong Kong Mental Morbidity Survey (2017). Prevalence of anxiety disorders in community dwelling older adults in Hong Kong. International Psychogeriatrics, 29(2), 259-267. https://doi.org/10.1017/S1041610216001617

@article{eecd1031f0fb4240a63cd8177c1416ef,

title = "Prevalence of anxiety disorders in community dwelling older adults in Hong Kong",

abstract = "Background: Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.Method: Data on 1,158 non-demented respondents aged 60-75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).Result: One hundred and thirty-seven respondents (11.9%, 95% CI = 10-13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5-9.6%) had anxiety, 2.2% (95% CI = 1.3-3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1-2.5%) had depression. Anxious individuals were more likely to be females (.2 = 25.3, p <0.001), had higher chronic physical burden (t=-9.3, p <0.001), lower SF-12 physical functioning score (t = 9.2, p <0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C. I. 1.7-4.6, p <0.001) and those with physical illnesses (OR 1.4, 95% C. I. 1.3-1.6, p <0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C. I. 1.2-2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C. I. 1.5-2.7, p <0.001), and genitourinary system (OR 2.0, 95% C. I. 1.3-3.2, p = 0.002).Conclusions: The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.",

keywords = "prevalence, anxiety disorders, community, older adults, memory, cognitive function, early sign, mental health, LATE-LIFE DEPRESSION, MYOCARDIAL-INFARCTION, SYMPTOMS, POPULATION, DECLINE, SCALE",

author = "Fung, {Ada Wai Tung} and Wai-Chi Chan and Wong, {Corine Sau-Man} and Chen, {Eric Yu-Hai} and Ng, {Roger Man-Kin} and Lee, {Edwin Ho-Ming} and Wing-Chung Chang and Se-Fong Hung and Cheung, {Eric Fuk-Chi} and Pak-Chung Sham and Chiu, {Helen Fung-Kum} and Ming Lam and Tin-Po Chiang and {van Os}, Jim and Lau, {Joseph Tak-Fai} and Glyn Lewis and Paul Bebbington and Lam, {Linda Chiu Wa} and {Hong Kong Mental Morbidity Survey}",

year = "2017",

month = feb,

doi = "10.1017/S1041610216001617",

language = "English",

volume = "29",

pages = "259--267",

journal = "International Psychogeriatrics",

issn = "1041-6102",

publisher = "Cambridge University Press",

number = "2",

}

Fung, AWT, Chan, W-C, Wong, CS-M, Chen, EY-H, Ng, RM-K, Lee, EH-M, Chang, W-C, Hung, S-F, Cheung, EF-C, Sham, P-C, Chiu, HF-K, Lam, M, Chiang, T-P, van Os, J, Lau, JT-F, Lewis, G, Bebbington, P, Lam, LCW & Hong Kong Mental Morbidity Survey 2017, 'Prevalence of anxiety disorders in community dwelling older adults in Hong Kong', International Psychogeriatrics, vol. 29, no. 2, pp. 259-267. https://doi.org/10.1017/S1041610216001617

TY - JOUR

T1 - Prevalence of anxiety disorders in community dwelling older adults in Hong Kong

AU - Fung, Ada Wai Tung

AU - Chan, Wai-Chi

AU - Wong, Corine Sau-Man

AU - Chen, Eric Yu-Hai

AU - Ng, Roger Man-Kin

AU - Lee, Edwin Ho-Ming

AU - Chang, Wing-Chung

AU - Hung, Se-Fong

AU - Cheung, Eric Fuk-Chi

AU - Sham, Pak-Chung

AU - Chiu, Helen Fung-Kum

AU - Lam, Ming

AU - Chiang, Tin-Po

AU - van Os, Jim

AU - Lau, Joseph Tak-Fai

AU - Lewis, Glyn

AU - Bebbington, Paul

AU - Lam, Linda Chiu Wa

AU - Hong Kong Mental Morbidity Survey

PY - 2017/2

Y1 - 2017/2

N2 - Background: Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.Method: Data on 1,158 non-demented respondents aged 60-75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).Result: One hundred and thirty-seven respondents (11.9%, 95% CI = 10-13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5-9.6%) had anxiety, 2.2% (95% CI = 1.3-3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1-2.5%) had depression. Anxious individuals were more likely to be females (.2 = 25.3, p <0.001), had higher chronic physical burden (t=-9.3, p <0.001), lower SF-12 physical functioning score (t = 9.2, p <0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C. I. 1.7-4.6, p <0.001) and those with physical illnesses (OR 1.4, 95% C. I. 1.3-1.6, p <0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C. I. 1.2-2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C. I. 1.5-2.7, p <0.001), and genitourinary system (OR 2.0, 95% C. I. 1.3-3.2, p = 0.002).Conclusions: The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.

AB - Background: Anxiety disorders are prevalent yet under-recognized in late life. We examined the prevalence of anxiety disorders in a representative sample of community dwelling older adults in Hong Kong.Method: Data on 1,158 non-demented respondents aged 60-75 years were extracted from the Hong Kong Mental Morbidity survey (HKMMS). Anxiety was assessed with the revised Clinical Interview Schedule (CIS-R).Result: One hundred and thirty-seven respondents (11.9%, 95% CI = 10-13.7%) had common mental disorders with a CIS-R score of 12 or above. 8% (95% CI = 6.5-9.6%) had anxiety, 2.2% (95% CI = 1.3-3%) had an anxiety disorder comorbid with depressive disorder, and 1.7% (95% CI = 1-2.5%) had depression. Anxious individuals were more likely to be females (.2 = 25.3, p <0.001), had higher chronic physical burden (t=-9.3, p <0.001), lower SF-12 physical functioning score (t = 9.2, p <0.001), and poorer delayed recall (t = 2.3, p = 0.022). The risk of anxiety was higher for females (OR 2.8, 95% C. I. 1.7-4.6, p <0.001) and those with physical illnesses (OR 1.4, 95% C. I. 1.3-1.6, p <0.001). The risk of anxiety disorders increased in those with disorders of cardiovascular (OR 1.9, 95% C. I. 1.2-2.9, p = 0.003), musculoskeletal (OR 2.0, 95% C. I. 1.5-2.7, p <0.001), and genitourinary system (OR 2.0, 95% C. I. 1.3-3.2, p = 0.002).Conclusions: The prevalence of anxiety disorders in Hong Kong older population was 8%. Female gender and those with poor physical health were at a greater risk of developing anxiety disorders. Our findings also suggested potential risk for early sign of memory impairment in cognitively healthy individuals with anxiety disorders.

KW - prevalence

KW - anxiety disorders

KW - community

KW - older adults

KW - memory

KW - cognitive function

KW - early sign

KW - mental health

KW - LATE-LIFE DEPRESSION

KW - MYOCARDIAL-INFARCTION

KW - SYMPTOMS

KW - POPULATION

KW - DECLINE

KW - SCALE

U2 - 10.1017/S1041610216001617

DO - 10.1017/S1041610216001617

M3 - Article

C2 - 27766997

SN - 1041-6102

VL - 29

SP - 259

EP - 267

JO - International Psychogeriatrics

JF - International Psychogeriatrics

IS - 2

ER -