Joint hypermobility is also associated with anxiety disorders in the elderly population

Background Anxiety disorders (AD) are very prevalent in the elderly, tend to compromise quality of life, and generate substantial costs. Considering that the prevention and early detection of anxiety may be relevant to increase health gains in older adults, it would be of great interest to identify...

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Published in:International journal of geriatric psychiatry 2018-01, Vol.33 (1), p.e113-e119
Main Authors: Bulbena‐Cabré, Andrea, Rojo, Conxita, Pailhez, Guillem, Buron Maso, Emma, Martín‐Lopez, Luis Miguel, Bulbena, Antonio
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
anxiety
Anxiety disorders
Anxiety Disorders - epidemiology
Benign hypermobility syndrome
Cross-Sectional Studies
elderly
Female
Geriatric psychiatry
Geriatrics
Humans
joint hypermobility
Joint Instability - psychology
late life
Logistic Models
Male
Middle Aged
Mood
Mood Disorders - psychology
Older people
Prevalence
Quality of Life
Rural Population - statistics & numerical data
Spain - epidemiology
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Summary:Background Anxiety disorders (AD) are very prevalent in the elderly, tend to compromise quality of life, and generate substantial costs. Considering that the prevention and early detection of anxiety may be relevant to increase health gains in older adults, it would be of great interest to identify whether the joint hypermobility syndrome (JHS) is also related to anxiety disorders in this age range. Methods Cross‐sectional data was collected in a sample of 108 subjects in a rural town in Spain. Instruments included Spielberger STAI, a modified Wolpe Fear Survey Schedule, General health Questionnaire (GHQ)‐28, and the anxiety and mood disorders section of the SCID, to assess past year prevalence of anxiety disorders. JHS was evaluated by trained examiners using the “Hospital del Mar criteria”. Results Among the 108 subjects (55% women, 45% men) over 60 years old, 21.3% meet criteria for JHS. These subjects scored significantly higher in both State (F = 5.53; p = 0.02) and Trait (F = 4.68; p = 0.03) anxiety and the GHQ 28 (F = 6.29; p = 0.01). Compared with non JHS subjects, they had more AD (34.8% vs. 11.8%; x2 = 6.90; p = 0.02) and mood disorders (30.4% vs. 10.6%; x2 = 5.65; p = 0.041) in the past year prevalence. A multiple logistic regression analysis showed that both JHS (β = 0.196; p = 0.04) and fears (β = 0.34; p = 0.001) are predictors of AD (r2 = 188; p = 0.001) in this population. Conclusions Joint hypermobility syndrome is associated with anxiety in the elderly population, and it may be used as a physical marker for AD among subjects within this age range. Copyright © 2017 John Wiley & Sons, Ltd.
ISSN:0885-6230
1099-1166
DOI:10.1002/gps.4733