GROUPS AT RISK FOR ANXIETY AND DEPRESSION AMONG RUSSIANS OVER 60 YEARS OLD (RESULTS OF SOCIOLOGICAL RESEARCH)
Article Sidebar
Main Article Content
https://orcid.org/0000-0002-1881-0963
Abstract
The global trend of population aging actualizes the problems of preserving the health of the older generation. With age, the risk of developing anxiety and depressive symptoms increases significantly, which are often underestimated and not treated. They can lead to deterioration of physical health, dementia, disability, and death, including as a result of suicide, as well as lower quality of life, increased family burden, and increased government spending. This study presents selected results of the federal statistical sample observation of the health status of the population conducted in 2023. The aim of the work is to identify the categories of older generation representatives most vulnerable to the appearance of subjective anxiety and depression through comparative analysis and calculation of relative risk. The information base contains data from a survey of 36,585 respondents over the age of 60, of which the target group is 19,551 respondents experiencing severe or moderate anxiety and depression. 4 groups of risk factors were analyzed: socio-demographic, socio-economic, biomedical and behavioral. Results: every second Russian over the age of 60 experiences increased anxiety or depression. The risk group included: women over 70 years old, single and widowed, with a low level of education, having communication difficulties, with “poor” and “very poor” health, cancer, heart diseases, osteoporosis and disability; poor people living in a communal apartment or separated from family members; leading a sedentary lifestyle. The most psychoemotionally protected are men, residents of the Republics of Chechnya, Mordovia, and Yakutia, who live in an official marriage and with minor family members, eat well, and are physically and socially active. The results obtained can be applied to scientific justification and support of management decisions aimed at strengthening the physical and psychological well-being of the older generation, improving their quality of life and reducing the socio-economic burden of anxiety and depression.
Downloads
Metrics
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
References
Любов Е.Б., Магурдумова Л.Г., Цупрун В.Е. Суицидальное поведение // Суицидология. 2017. №1 (26). С.3-16.
Михайлова Н.М. Депрессии в позднем возрасте // РМЖ. 2004. №14. С. 835.
Некипелова Д.В. Система долговременного ухода как фактор улучшения социально‐экономического положения пенсионеров и инвалидов в РФ // Векторы благополучия: экономика и социум. 2024. Т. 52. № 2. С. 23-36. DOI: 10.18799/26584956/2024/2/1782
Ниязова Я.М. Диагностика и терапия психических расстройств у больных с артериальной гипертензией // Экономика и социум. 2024. №2-2 (117). 524-530.
Li S.H., Graham B.M. Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones // The Lancet Psychiatry. 2017. Vol. 4 (1), P. 73-82. https://doi.org/10.1016/S2215-0366(16)30358-3.
Livingston G. et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission // The Lancet. 2024. Vol. 404 (10452). P.572-628. URL: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/fulltext#seccestitle320
McGrath J.J., Al-Hamzawi A., Alonso J., et al. Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries // The Lancet Psychiatry. 2023. Vol. 10 (9). P. 668-681.
Pérez-Cano HJ, Moreno-Murguía MB, Morales-López O, Crow-Buchanan O, English JA, Lozano-Alcázar J, Somilleda-Ventura SA. Anxiety, depression, and stress in response to the coronavirus disease-19 pandemic // Cir Cir. 2020. Vol. 88 (5). P.562-568. doi: 10.24875/CIRU.20000561.
Raposo S., Mackenzie C., Henriksen C., Afifi T. Time does not heal all wounds: older adults who experienced childhood adversities have higher odds of mood, anxiety, and personality disorders // The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry. 2013. Vol. 22 (11). P.1241-1250. 10.1016/j.jagp.2013.04.009.
Riecher-Rössler A. Sex and gender differences in mental disorders // The Lancet Psychiatry. 2017. Vol. 4(1). P. 8-9. https://doi.org/10.1016/S2215-0366(16)30348-0.
Sarı E., Karakuş B.Ş., Demir E. Economic uncertainty and mental health: Global evidence, 1991 to 2019. // SSM – Population Health. 2024, Vol. 27, 101691, https://doi.org/10.1016/j.ssmph.2024.101691.
Shonkoff J.P. & Garner A.S. The lifelong effects of early childhood adversity and toxic stress // Pediatrics. 2012. Vol. 129 (1). P. e232-e246.
Tani Y., Fujiwara T., Kondo K. Association between adverse childhood experiences and dementia in older Japanese adults // JAMA Netw. Open. 2020.Vol. 3 (2).P. e1920740.
Zhang P, Wang L, Zhou Q, Dong X, Guo Y, Wang P, He W, Wang R, Wu T, Yao Z, Hu B, Wang Y, Zhang Q, Sun C. A network analysis of anxiety and depression symptoms in Chinese disabled elderly // J Affect Disord. 2023. Vol. 333. P.535-542. doi: 10.1016/j.jad.2023.04.065.
Zhang Y, Kuang J, Xin Z, Fang J, Song R, Yang Y, Song P, Wang Y, Wang J. Loneliness, social isolation, depression and anxiety among the elderly in Shanghai: Findings from a longitudinal study // Arch Gerontol Geriatr. 2023. Vol. 110:104980. doi: 10.1016/j.archger.2023.104980.
REFERENCES
Aksenova Ye.I., Kamynina N.N. & Turzin P.S. (2024). Analysis of the relationship between the physical and mental health of the population abroad: a review. Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki, 2, 87-112. (In Russ).
Lyubov Ye.B., Magurdumova L.G. & Tsuprun V.Ye. (2017). Suicidal behavior. Suitsidologiya, 1 (26), 3-16. (In Russ).
Mikhaylova N.M. (2004). Depression in late age. RMZH, 14, 835. (In Russ).
Nekipelova D.V. (2024). Long-term care system as a factor in improving the socio-economic situation of pensioners and disabled people in the Russian Federation. Vektory blagopoluchiya: ekonomika i sotsium, 52, № 2, 23-36. (In Russ). DOI: 10.18799/26584956/2024/2/1782
Niyazova Ya.M. (2024). Diagnosis and treatment of mental disorders in patients with arterial hypertension. Ekonomika i sotsium, 2-2 (117), 524-530. (In Russ).
Li S.H. & Graham B.M. (2017) Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. The Lancet Psychiatry, 4(1), 73-82. https://doi.org/10.1016/S2215-0366(16)30358-3.
Livingston G., Huntley J, Liu K.Y., Costafreda S.G., Selbæk G., Alladi S., Ames D., Banerjee S., Burns A., Brayne C., Fox N.C., Ferri C.P., Gitlin L.N., Howard R., Kales H.C., Kivimäki M., LarsonE.B., Nakasujja N., Rockwood K., Samus Q., Shirai K., Singh-Manoux A., Schneider L.C., Walsh S., Yao Y., Sommerlad A., Mukadam N. (2024). Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. The Lancet, 404 (10452), 572-628.
McGrath J.J., Al-Hamzawi A., Alonso J., Altwaijri Y., Andrade L.H., Bromet E.J., Bruffaerts R., de Almeida J.M.C., Chardoul S., Chiu W.T., Degenhardt L., Demler O.V., Ferry F., Gureje O., Haro J.M., Karam E.G., Karam G., Khaled S.M., Kovess-Masfety V., Magno M., Medina-Mora M.E., Moskalewicz J., Navarro-Mateu F., Nishi D., Plana-Ripoll O., Posada-Villa J., Rapsey C., Sampson N.A., Stagnaro J.C., Stein D.J., Ten Have M., Torres Y., Vladescu C., Woodruff P.W., Zarkov Z., Kessler R.C. (2023) Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries. Lancet Psychiatry, 10(9), 668-681. doi: 10.1016/S2215-0366(23)00193-1.
Pérez-Cano H.J., Moreno-Murguía M.B., Morales-López O., Crow-Buchanan O., English J.A., Lozano-Alcázar J. & Somilleda-Ventura S.A. (2020) Anxiety, depression, and stress in response to the coronavirus disease-19 pandemic. Cir Cir, 88(5), 562-568. doi: 10.24875/CIRU.20000561.
Raposo S., Mackenzie C., Henriksen C. & Afifi T. (2013) Time does not heal all wounds: older adults who experienced childhood adversities have higher odds of mood, anxiety, and personality disorders. The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry, 22 (11), 1241-1250.
Riecher-Rössler A. (2017) Sex and gender differences in mental disorders. The Lancet Psychiatry, 4(1), 8-9. https://doi.org/10.1016/S2215-0366(16)30348-0.
Sarı E., Karakuş B.Ş. & Demir E. (2024) Economic uncertainty and mental health: Global evidence, 1991 to 2019, SSM - Population Health, 27, 101691, https://doi.org/10.1016/j.ssmph.2024.101691.
Shonkoff J.P. & Garner A.S. (2012) The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232-e246.
Tani Y., Fujiwara T. & Kondo K. (2020) Association between adverse childhood experiences and dementia in older Japanese adults. JAMA Netw. Open, 3(2), e1920740.
Zhang P., Wang L., Zhou Q., Dong X., Guo Y., Wang P., He W., Wang R., Wu T., Yao Z., Hu B., Wang Y., Zhang Q. & Sun C. (2023) A network analysis of anxiety and depression symptoms in Chinese disabled elderly. J Affect Disord, 333, 535-542. doi: 10.1016/j.jad.2023.04.065.
Zhang Y., Kuang J., Xin Z., Fang J., Song R., Yang Y., Song P., Wang Y. & Wang J. (2023) Loneliness, social isolation, depression and anxiety among the elderly in Shanghai: Findings from a longitudinal study. Arch Gerontol Geriatr, 110, 104980. doi: 10.1016/j.archger.2023.104980.