ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2014
Prevalence and predictors of persistent versus remitting mood, anxiety, and substance disorders in a national sample of older adults.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Personality and help-seeking for psychological distress: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Review
- Lifetime Prevalence and Comorbidity of Mental Disorders in the Two-wave 2002-2018 Canadian Armed Forces Members and Veterans Mental Health Follow-up Survey (CAFVMHS): Prévalence et Comorbidité de Durée de vie Des Troubles Mentaux Dans l'Enquête de Suivi Sur la Santé Mentale Auprès des Membres des Forces Armées Canadiennes et Des ex-Militaires (ESSMFACM) en Deux Cycles de 2002 à 2018.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Treatment adequacy and remission of depression and anxiety disorders and quality of life in primary care older adults.Health and quality of life outcomes · 2021Article
- Psychopathology and HIV diagnosis among older adults in the United States: disparities by age, sex, and race/ethnicity.Aging & mental health · 2020Article
- Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress.The Medical clinics of North America · 2020Review
- Rat animal models for screening medications to treat alcohol use disorders.Neuropharmacology · 2017Review
- Relative Association of Multi-Level Supportive Environments on Poor Health among Older Adults.International journal of environmental research and public health · 2017Article
- Anxiety Disorders and General Medical Conditions: Current Research and Future Directions.Focus (American Psychiatric Publishing) · 2017Review
- Anxiety in Later Life.Focus (American Psychiatric Publishing) · 2017Review
- The natural history of substance use disorders.Current opinion in psychiatry · 2016Review
- A Genetic Animal Model of Alcoholism for Screening Medications to Treat Addiction.International review of neurobiology · 2016Review
- The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings.Social psychiatry and psychiatric epidemiology · 2015Review
- Race-related differences in depression onset and recovery in older persons over time: the health, aging, and body composition study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2014Article
- The Emerging Empirical Science of Wisdom: Definition, Measurement, Neurobiology, Longevity, and Interventions.Harvard review of psychiatryReview
- Anxiety Contributes to Physical Health Among Older Adults Who Are Incarcerated in Prison.Journal of gerontological social workArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesRelatively little is known about whether mental disorders other than depression remit versus persist in later life, especially within nationally representative samples. Our objectives were to examine the prevalence of persistent mood, anxiety, and substance disorders in older adults and to explore a range of physical and mental health predictors of disorder chronicity.
methodsThis study involved a 3-year follow-up design using Wave 1 (2001-2002) and Wave 2 (2004-2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Participants included 1,994 adults aged 55 years and older who had a past-year mental disorder at Wave 1 and who completed Wave 2. The primary outcome was the prevalence of persistent mood, anxiety, and substance disorders at Wave 2. Potential predictors of persistence included sociodemographic variables, physical health (chronic health conditions and physical health-related quality of life), and mental health (childhood adversity, suicide attempts, mental health-related quality of life, comorbid mental disorders, personality disorders, and lifetime treatment-seeking).
resultsWith the exception of nicotine dependence, the prevalence of persistent mood, anxiety, and substance disorders ranged from 13% to 33%. Only younger age predicted substance disorder chronicity. Significant predictors of persistent mood and anxiety disorders included physical and mental health comorbidity, physical health- and mental health-related quality of life, suicide attempts, comorbid personality disorders, and treatment-seeking.
conclusionsAt least two-thirds of mental disorders in these older adults were not persistent. Sociodemographic variables had little influence on chronicity, whereas a number of markers of mental disorder severity and complexity predicted persistent mood and anxiety disorders. The findings have important treatment and prevention implications.
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