The correlates of anxiety among older adults in nursing homes and other residential aged care facilities

a systematic review

Alexandra S. Creighton, Tanya E. Davison, David W. Kissane

Research output: Contribution to journalReview ArticleResearchpeer-review

Abstract

OBJECTIVE:
To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care.

METHODS:
Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years.

RESULTS:
A total of 3741 articles were identified, of which 34 studies (with a total of 1 543 554 participants) were included in this review. Correlates associated with anxiety included pain, use of anti-depressants/lithium, depression, and lower perceived quality of life. Less consistent and/or less studied variables included younger age, female gender, higher educational level, functional dependence, subjective health status, more prescribed medications, impaired vision, insomnia, external locus of control, fear of falling, attachment, hope, meaning in life, and the influence of social, environmental, and staff/policy correlates.

CONCLUSIONS:
While several variables were found to have strong associations with anxiety in aged care residents, a number of factors have been examined by only one or two studies. Further research (preferably prospective studies) is therefore needed to reliably confirm findings and to help plan and develop preventative and intervention strategies.
Original languageEnglish
Pages (from-to)141 - 154
Number of pages14
JournalInternational Journal of Geriatric Psychiatry
Volume32
Issue number2
DOIs
Publication statusPublished - Feb 2017

Keywords

  • aged care; anxiety; correlate; elders; factor; long-term care; nursing home; older adult; predictor; residential care

Cite this

@article{b7da0131d2144dfeaf40f3a3b47561c7,
title = "The correlates of anxiety among older adults in nursing homes and other residential aged care facilities: a systematic review",
abstract = "OBJECTIVE:To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care.METHODS:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years.RESULTS:A total of 3741 articles were identified, of which 34 studies (with a total of 1 543 554 participants) were included in this review. Correlates associated with anxiety included pain, use of anti-depressants/lithium, depression, and lower perceived quality of life. Less consistent and/or less studied variables included younger age, female gender, higher educational level, functional dependence, subjective health status, more prescribed medications, impaired vision, insomnia, external locus of control, fear of falling, attachment, hope, meaning in life, and the influence of social, environmental, and staff/policy correlates.CONCLUSIONS:While several variables were found to have strong associations with anxiety in aged care residents, a number of factors have been examined by only one or two studies. Further research (preferably prospective studies) is therefore needed to reliably confirm findings and to help plan and develop preventative and intervention strategies.",
keywords = "aged care; anxiety; correlate; elders; factor; long-term care; nursing home; older adult; predictor; residential care",
author = "Creighton, {Alexandra S.} and Davison, {Tanya E.} and Kissane, {David W.}",
year = "2017",
month = "2",
doi = "doi: 10.1002/gps.4604",
language = "English",
volume = "32",
pages = "141 -- 154",
journal = "International Journal of Geriatric Psychiatry",
issn = "0885-6230",
publisher = "Wiley-Blackwell",
number = "2",

}

The correlates of anxiety among older adults in nursing homes and other residential aged care facilities : a systematic review. / Creighton, Alexandra S.; Davison, Tanya E.; Kissane, David W.

In: International Journal of Geriatric Psychiatry, Vol. 32, No. 2, 02.2017, p. 141 - 154.

Research output: Contribution to journalReview ArticleResearchpeer-review

TY - JOUR

T1 - The correlates of anxiety among older adults in nursing homes and other residential aged care facilities

T2 - a systematic review

AU - Creighton, Alexandra S.

AU - Davison, Tanya E.

AU - Kissane, David W.

PY - 2017/2

Y1 - 2017/2

N2 - OBJECTIVE:To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care.METHODS:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years.RESULTS:A total of 3741 articles were identified, of which 34 studies (with a total of 1 543 554 participants) were included in this review. Correlates associated with anxiety included pain, use of anti-depressants/lithium, depression, and lower perceived quality of life. Less consistent and/or less studied variables included younger age, female gender, higher educational level, functional dependence, subjective health status, more prescribed medications, impaired vision, insomnia, external locus of control, fear of falling, attachment, hope, meaning in life, and the influence of social, environmental, and staff/policy correlates.CONCLUSIONS:While several variables were found to have strong associations with anxiety in aged care residents, a number of factors have been examined by only one or two studies. Further research (preferably prospective studies) is therefore needed to reliably confirm findings and to help plan and develop preventative and intervention strategies.

AB - OBJECTIVE:To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care.METHODS:Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years.RESULTS:A total of 3741 articles were identified, of which 34 studies (with a total of 1 543 554 participants) were included in this review. Correlates associated with anxiety included pain, use of anti-depressants/lithium, depression, and lower perceived quality of life. Less consistent and/or less studied variables included younger age, female gender, higher educational level, functional dependence, subjective health status, more prescribed medications, impaired vision, insomnia, external locus of control, fear of falling, attachment, hope, meaning in life, and the influence of social, environmental, and staff/policy correlates.CONCLUSIONS:While several variables were found to have strong associations with anxiety in aged care residents, a number of factors have been examined by only one or two studies. Further research (preferably prospective studies) is therefore needed to reliably confirm findings and to help plan and develop preventative and intervention strategies.

KW - aged care; anxiety; correlate; elders; factor; long-term care; nursing home; older adult; predictor; residential care

U2 - doi: 10.1002/gps.4604

DO - doi: 10.1002/gps.4604

M3 - Review Article

VL - 32

SP - 141

EP - 154

JO - International Journal of Geriatric Psychiatry

JF - International Journal of Geriatric Psychiatry

SN - 0885-6230

IS - 2

ER -