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Previous issue date: 2014-03-17 / Generalized Anxiety Disorder (GAD) is a common mental disorder that typically has an early age of onset, a chronic course, and a high degree of comorbidity with other anxiety and mood disorders. Despite the high prevalence of GAD in older adults, little is known about psychopathological features of excessive worry in the elderly. This is a cross-sectional study with a population-based sample of 578 individuals aged 60 years or more from the Family Health Strategy (FHS) of Porto Alegre, Brazil. Diagnosis were made by psychiatrists using the Mini International Neuropsychiatric Interview plus (MINIplus). The objective was evaluated a prevalence of GAD in elderly and to correlate association between GAD and sociodemographic and health characteristics. Total sample was characterized by: predominance of women (63.8%), younger elderly (62.4%), illiteracy or very poor schooling (61.6%), and low income rates (93.2%). The prevalence of GAD was 9% (IC:6.9-11.6). The main uncontrolled findings shows higher frequencies of GAD in female gender (10.8%,P.04), 60-69 age group (11%,P.047), not retired (14.7%,P.001), cohabitation with 4 or more people (11.9%,P.019), and history of falls (18.8%,P.003). Not being retired, history of falls, cohabitation with four or more people, heaving more than one hospitalization per year and poor self-perceived health presented significant association with GAD. This study presents associations with sociodemographic characteristics that weren?t examined previously in current literature and that should be further researched. Associations with gender, income and health open possibilities for new hypothesis tests in GAD or other anxiety disorders in elderly population in low income countries. / O transtorno de Ansiedade Generalizada (TAG) ? uma desordem mental comum, que normalmente tem in?cio precoce, curso cr?nico e um alto grau de comorbidade com outros transtornos de ansiedade e de humor. Apesar da alta preval?ncia do TAG em idosos, as caracter?sticas psicopatol?gicas da preocupa??o excessiva s?o pouco conhecidas. Este ? um estudo com desenho transversal, que conta com uma amostra de base populacional de 578 indiv?duos com 60 anos ou mais, pertencentes ? Estrat?gia Sa?de da Fam?lia (ESF) de Porto Alegre, Brasil. O objetivo ? avaliar a preval?ncia do TAG nessa amostra e correlacionar com caracter?sticas s?ciodemogr?ficas e de sa?de. O Mini International Neuropsychiatric Interview Plus (MiniPlus) foi o instrumento diagn?stico utilizado. Em rela??o aos resultados, a preval?ncia de TAG em idosos foi de 9% (IC:6.9 -11 .6). A amostra foi caracterizada por ser predominante em: mulheres (63,8%), idosos mais jovens (62,4%), analfabetos ou indiv?duos com baixa escolaridade (61,6%) e baixa renda (93,2 %). O TAG foi estatisticamente significativo nas seguintes vari?veis: sexo feminino (10,8%, P.04), faixa et?ria de 60-69 anos (11%, P.047) , n?o estar aposentada (14,7%, P.001), morar com 4 ou mais pessoas (11,9%, P.019) e ter hist?rico de quedas (18,8%, P.003). Al?m disso, internar mais do que uma vez no ?ltimo ano e apresentar auto-percep??o de sa?de regular tamb?m evidenciaram associa??o significativa. Este estudo demonstrou associa??es com caracter?sticas sociodemogr?ficas que n?o foram previamente examinados na literatura atual e que devem ser mais pesquisadas. Associa??es com sexo, renda e sa?de abrem possibilidades para novos testes de hip?teses em TAG na popula??o idosa em pa?ses de baixa renda.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2740 |
| Date | 17 March 2014 |
| Creators | Menta, Caroline |
| Contributors | Cataldo Neto, Alfredo |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, BR, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 4438661476953179033, 500, 600, 2296420844541114010 |
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