ABSTRACT
Objective To explore the related factors of anxiety and gloomy mentality people aged 60-80 years and investigate the effectiue methods to intervention.Methods A follow-up study was proportional and carried out in Xicheng district of Beijing.Multi-phase,stratified,unequal cluster sampling was adopted to investigate old people in 2011 with WHO-QOL,Memorial University of Newfoundl and Scale of Happiness,Social Support Rating Scale,Self-Rating Anxiety Scale and Self-rating Depression Scale.2342 old people were randomly divided into control group and trial group.The trial group received health education,community social support,lightening the psychological stress in face to face,psychology guiding and group discussion.The control group received general observation only.Results Among 2342 old people,126 (5.3％) obtained anxiety and 201(8.6％) had gloomy mentality.The anxiety in the elderly was significantly related to age,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,keeping pets,character,training,feeling adjusting,life quality,subjective well-being,social support,depression (all P ＜ 0.05).The depression in the elderly was significantly related to gender,marriment,culture,job,family type,family relationship,housing,income,medical insurance,retirement type,reading,watching plays,character,feeling adjusting,drinking,training,life quality,subjective well-being,social support,anxiety (all P＜0.05).Scores of two groups had no significant difference before intervention.The change in scores of anxiety and depression in the trial group was obviously lower than in control group (P＜0.05).Conclusions The anxiety and gloomy mentality are common in old people aged 60-80 years in Xicheng District,which independently associated with related factors such as life quality,subjective well-being,social support and so on.After 6 months of treatment,the scores of anxiety and depression in the trial group is obviously lower than in control group.
ABSTRACT
Objective: To evaluate feasibility of informant questionnaire of the Community Screening Instrument for Dementia(CSID) and related factors in a sample of community elderly population, and to investigate prevalence of suspectable dementia in the sampled people.Method: A total of 2267 people aged 65 and above in one rural area and one urban area in Beijing were recruited and their informants were assessed by the CSID informant questionnaire.Validity of CSID were evaluated according to the computerized diagnosis of 10/66 project and ICD-10.Result:The split-half reliability of CSID informant questionnaire was 0.85 and the consistency was more than 0.8.When the cutoff point of CSID was 6 or more, sensitivity was 86.2% and specificity was 93.2%.At meantime, the prevalence of suspectable dementia was 9.1%.Logistic regression analysis showed that the information obtained from informant as a spouse and from informant who lived in urban area was correlated with positive diagnosis of dementia.Conclusion:CSID informant questionnaire is valid as a screening instrument of dementia.Information from spouse is useful to identify the change of cognitive function of the elderly.