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Anxiety, Depression and Quality of Life in Older Adults: Trajectories of Influence across Age

Author

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  • Oscar Ribeiro

    (Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal)

  • Laetitia Teixeira

    (Center for Health Technology and Services Research (CINTESIS), Institute of Biomedical Sciences Abel Salazar, Department of Population Studies, University of Porto, 4050-313 Porto, Portugal)

  • Lia Araújo

    (Center for Health Technology and Services Research (CINTESIS), School of Education, Polytechnic Institute of Viseu (ESEV.IPV), 3504-510 Viseu, Portugal)

  • Carmen Rodríguez-Blázquez

    (National Centre of Epidemiology, Carlos III Health Institute and CIBERNED, 28029 Madrid, Spain)

  • Amaia Calderón-Larrañaga

    (Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and REDISSEC, 17165 Solna, Sweden)

  • Maria João Forjaz

    (National Centre of Epidemiology, Carlos III Health Institute and REDISSEC, 28029 Madrid, Spain)

Abstract

This study focuses on the influence of anxiety and depression on individual trajectories of quality of life in old age through a longitudinal approach. A representative sample of adults aged 50+ living in Portugal and participating in wave 4 (W4) and wave 6 (W6) of the Survey of Health, Ageing and Retirement in Europe (SHARE) project was considered. Participants, 1765 at baseline (W4) and 1201 at follow up (W6), were asked about their quality of life (CASP-12) and emotional status (Euro-D scale; five items from the Beck Anxiety Inventory). Linear Mixed Effects models were performed to identify factors associated with changes in quality of life across age. Increasing age was found to have a significant negative effect on quality of life. Lower education and higher levels of depression and anxiety at baseline were also associated with worse quality of life; 42.1% of the variation of CASP-12 across age was explained by fixed and random effects, being depression followed by anxiety as the factors that presented with the highest relative importance. Both depression and anxiety play an important role in quality of life in older adults and must be acknowledged as important intervention domains to foster healthy and active aging.

Suggested Citation

  • Oscar Ribeiro & Laetitia Teixeira & Lia Araújo & Carmen Rodríguez-Blázquez & Amaia Calderón-Larrañaga & Maria João Forjaz, 2020. "Anxiety, Depression and Quality of Life in Older Adults: Trajectories of Influence across Age," IJERPH, MDPI, vol. 17(23), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:9039-:d:456645
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    References listed on IDEAS

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    1. R. Wiggins & G. Netuveli & M. Hyde & P. Higgs & D. Blane, 2008. "The Evaluation of a Self-enumerated Scale of Quality of Life (CASP-19) in the Context of Research on Ageing: A Combination of Exploratory and Confirmatory Approaches," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 89(1), pages 61-77, October.
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    3. Maryam Farhang & Graciela Rojas & Pablo Martínez & Maria Isabel Behrens & Álvaro I. Langer & Marcela Diaz & Claudia Miranda-Castillo, 2022. "The Impact of a Yoga-Based Mindfulness Intervention versus Psycho-Educational Session for Older Adults with Mild Cognitive Impairment: The Protocol of a Randomized Controlled Trial," IJERPH, MDPI, vol. 19(22), pages 1-16, November.
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    5. Raquel Fábrega-Cuadros & Fidel Hita-Contreras & Antonio Martínez-Amat & José Daniel Jiménez-García & Alexander Achalandabaso-Ochoa & Leyre Lavilla-Lerma & Patricia Alexandra García-Garro & Francisco Á, 2021. "Associations between the Severity of Sarcopenia and Health-Related Quality of Life in Community-Dwelling Middle-Aged and Older Adults," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    6. Johanna Katharina Hohls & Hans-Helmut König & Eleanor Quirke & André Hajek, 2021. "Anxiety, Depression and Quality of Life—A Systematic Review of Evidence from Longitudinal Observational Studies," IJERPH, MDPI, vol. 18(22), pages 1-26, November.
    7. Christoph K. Becker & Stefan T. Trautmann, 2022. "Does Happiness Increase in Old Age? Longitudinal Evidence from 20 European Countries," Journal of Happiness Studies, Springer, vol. 23(7), pages 3625-3654, October.

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