Anxiety In Elderly People Research Articles

Distraction Guided Imagery Technique to Reduce Anxiety Levels in Elderly with Hypertension

Elderly is an aging process with increasing individual age characterized by a decrease in the function of organs such as the brain, heart, liver and kidneys and increased loss of active body tissue in the form of body muscles. The decline in organ function in the elderly is due to a decrease in the number and ability of body cells, so that the ability of body tissues to maintain normal function disappears, so they cannot defend against infection and repair damage suffered (Fatmah, 2010). The purpose of this study was to identify the Guidance Imagery Distraction Technique on Reducing Anxiety Levels in Elderly People with Hypertension in Rt 010 / Rw 005 Lenteng Agung South Jakarta Year 2023.This type of research uses a quantitative type research design with a research design using pre-experiment. The population in the study was elderly with hypertension as many as 39 people in RT 010 / RW 05 Lenteng Agung The sample technique used was putposive sampling and data analysis using paired sample t-test. The results of this study indicate that after being given guided imagery techniques, the majority experienced a decrease in anxiety levels, namely mild anxiety as many as 11 elderly people (73.3%) and respondents who experienced moderate anxiety as many as 4 elderly people (46.7%). anxiety in elderly people with hypertension in RT 010 In RT 010 /RW 05 Lenteng Agung before being given the Guided Imagery distraction technique, the majority experienced severe anxiety. Anxiety in the elderly with hypertension in RT 010 / RW 05 Lenteng Agung before being given the Guided Imagery distraction technique, the majority experienced mild anxiety. There is an effect of Guidance Imagery distraction techniques on reducing anxiety levels in the elderly with hypertension in RT 010 / Rw 005 Lenteng Agung, South Jakarta in 2023.

PSYCOEDUCATION OF YOUNG MOTHER TO REDUCE ANXIETY OF HYPERTENSIVE ELDERLY IN PUTON VILLAGE WORKING AREA OF CUKIR HEALTH CENTER

The elderly are a vulnerable age group, where in this phase a person tends to experience a decline in both physical and mental function and thus requires assistance to fulfill daily life activities. Health problems such as high blood pressure (hypertension), diabetes (diabetes mellitus/DM), heart disease, etc. can cause the elderly to be unable to carry out activities and fulfill their daily needs, thus requiring long-term care (PJP). A systematic program is needed to care for the elderly so that their needs can be met, prevent complications, and maintain optimal quality of life for the elderly. At the stage of development of the elderly, individuals experience setbacks both physically, psychologically and socially. Dependence on other people, especially family, becomes very high. Therefore, specific and appropriate assistance is needed to help the elderly carry out their activities optimally and not cause worse conditions or complications. Efforts that have been made to prevent and control hypertension in the elderly include providing psychoeducation to young mothers accompanying the elderly. Bearing in mind that in Puton Village the incidence of hypertension is still high and many people complain of experiencing anxiety due to hypertension. This community service activity was carried out for 1 week starting from the coordination stage to the evaluation. Based on the results of community service, participants understand more about anxiety in elderly people with hypertension so that they can reduce anxiety in elderly people with hypertension and increase the knowledge and ability of young mothers in caring for the elderly at home

GAMBARAN TINGKAT KECEMASAN PADA LANSIA PENDERITA HIPERTENSI DI JALAN PEMBANGUNAN USU LINGUKUNGAN 14 KECEMATAN MEDAN BARU TAHUN 2021

As you get older, there will be many diseases suffered due to a decrease in various functions of the body. One of the diseases that commonly suffered by the elderly people are hypertension. Hypertension can disturb phychological condition because of fear and anxiety. This research aims to know the level of anxiety in the elderly people with hypertension street Pembangunan USU Environment 14 Districts Medan Baru in 202. The design of this research use descriptive observational study with 25 questions as an instrument. The samples on this research was total sampling with all respondents 35 people. In street Pembangunan USU Environment 14 Districts Medan Baru. The results of the study obtained that most respondents experienced moderate levels of anxiety, namely 21 respondents and a small proportion of respondents experienced panic, namely 5 respondents. All respondents suffered from anxiety wit range mild anxiety to panic. Most respondets experienced moderate anxiety with first degree hypertension. It is advisable for the next researcher to examine correlation between the degree of hypertension and the level of anxiety. Health workers should be able to identify anxiety in elderly people with Hipertension and be able to provide solutions to overcome anxiety.

Effectiveness of Acceptance and Commitment Therapy in Sleep Quality, Resil- ience, and Death Anxiety in the Elderly

Background: Aging currently has a major share of population composition. The aim of this study was to determine the effectiveness of acceptance and commitment therapy (ACT) on sleep quality, resilience, and death anxiety of the elderly.Methods: The research method was pre-test, post-test with two-month follow-up period with control group. The statistical population of this study included all elderly residents in nursing homes in Shiraz in 2019. The sample consisted of 30 people from the mentioned population who were selected by convenience sampling method and assigned to two groups of acceptance and commitment therapy (n=15), and control group (n=15) using simple randomization method. Data were collected using a resilience questionnaire (Conner-Davidson, 2003), Death Anxiety Scale (Collette-Lester, 1969), and Pittsburgh Sleep Quality Questionnaire. Data were analyzed using the repeated measure ANOVA, and the above statistical analysis was performed using SPSS.22 software.Results: The results showed that acceptance and commitment therapy was effective on improving sleep quality (p <0.001) and resilience (p <0.001) and death anxiety (p <0.001) in elderly people.Conclusion: It can be concluded that acceptance and commitment therapy was effective on improving sleep quality and resilience and death anxiety in elderly people.

Hubungan Jenis Kelamin dan Lama Sakit dengan Kejadian Depresi Pada Lansia Penderita Hipertensi

Decreasing and changing physical conditions, the change in mental status as depression that often ignored, and diseases that often appear like hypertension are commonly found in the elderly, and it is a health problem that requires special attention because it will affect all aspects of life in the elderly. The purpose of this study was to determine the relationship between sex and duration of illness with the level of depression in the elderly with hypertension. The method used is descriptive quantitative with cross sectional approach. The study population was all elderly with hypertension at the Penumping Public Health Center with a sample of 54 people taken by accidental sampling. Data was collected using a research instrument in the form of a Geriatric Depression Scale (GDS) questionnaire and analyzed using a correlative test that is a Kendall tau analysis. Correlative test results between sex and depression level showed a correlation value of 0.294 with p-value (p) = 0.028, which means there is a significant relationship between sex and depression level. Correlative test between the duration of hypertension and the level of depression showed a correlation value of 0.382 with p-value (p) = 0.004, which means there is a significant relationship between the duration of hypertension and the level of depression. Discussion : The occurrence of the degeneration process in the elderly can cause physical changes and changes in the social environment such as a low economy, loss of family members, inability to fill roles in society and risk of disease. Female sex is the highest proportion and high life expectancy compared to men, so hypertension sufferers mostly occur in elderly women. Anxiety in elderly people with hypertension is caused due to the tendency to take a relatively long treatment, the risk of complications and can shorten life. The conclusion is that there is a relationship between sex and duration of illness and the level of depression in the elderly with hypertension.

HUBUNGAN TINGKAT KECEMASAN DENGAN KUALITAS TIDUR PADA LANSIA PENDERITA HIPERTENSI

Sleep quality of elderly is influenced by psychological conditions. Elderly with hypertension are affected not only by physical but also pshychological conditions. Anxiety is a part of its. This study was used a cross-sectional approach to identify the relationship between anxiety level (independent variable) and sleep quality in the elderly (dependent variable) with hypertension in the working area of ​​Karangmulya Health Center, Garut Regency. This study was used Zung Self-rating Anxiety Scale (ZSAS) and the Pitsburgh Sleep Quality Index (PSQI) questionnaires. The results showed that the majority of respondents were female, 63 respondents (65.6%) and widow/widower (69.8%). The Correlation analysis between the level of anxiety and sleep quality of elderly patients with hypertension showed results P-value = 0.041(p&lt;0.05), which means there was a relationship between the level of anxiety and sleep quality in elderly patients. It is expected that health care workers especially nurses can help the elderly to improve sleep quality through handling anxiety in elderly people with hypertension.

Terapi Zikir sebagai Intervensi untuk Menurunkan Kecemasan pada Lansia

Anxiety is a common problem especially in elderly people. Zikir, a remembrance to God in Islam, is believed in giving a comfort in people. This study examined the zikir as intervention in decreasing anxiety. The elderly people in a nursing home in Surakarta were involved in this study. In the pretest, 37 subjects were selected according to the anxiety score using Geriatric Anxiety Inventory (GAI) and cognitive function score using Mini Mental State Examination (MMSE). A number of 9 elderly people participated in the experiment were grouped ramdomly into experimental and control group. The results of Mann-Whitney test showed a significant difference between pretest and posttest score in both groups (Z = -1.968, p &lt; 0.05). Experimental group showed a significant decrease of anxiety score after intervention. Zikir theraphy as intervention effectively decrease anxiety in elderly people.

Validation of the Geriatric Anxiety Inventory in Chilean older people

ObjectiveCurrently in Chile there is a lack of validated tools for measuring anxiety in the elderly population. Considering this, the purpose of this study was to validate the Geriatric Anxiety Inventory (GAI) in the country. MethodAn analysis of the psychometric properties of the GAI was carried out, using a non-clinical sample of 301 older adults in the Metropolitan and Valparaíso regions of Chile. Older people were asked about anxiety, rumination, depression, well-being and sociodemographic data. ResultsAn excellent internal reliability was obtained with a Cronbach score of 0.931. An adequate convergent validity was observed with the Depression scales (CES-D) (Rho = 0.549, p < .01), Rumination (RSS) (Rho = 0.618; p < 0.01) and Experiential avoiding (Rho = 0.485; p < 0.01). On the other hand, the discriminant validity of the psychological well-being scale presented a negative correlation of Rho = -0.699 (p < 0.01). Finally, and Exploratory Factor Analysis was made, revealing a one-dimensional model of the instrument. ConclusionThe Geriatric Anxiety Inventory has very good psychometric properties measuring anxiety in elderly people, being an adequate instrument for the screening of anxiety on this population.

Factors Associated with Death Anxiety in Elderly Batak Tribe who Live in Bandung

Death is something definite. Awareness about the certainty of the coming death raises different responses depending on each person, including the elderly. Differences in social background, beliefs, and life experiences have shaped their respective levels of spirituality elderly, but the elderly still be experiencing anxiety to face the death. Not infrequently the death anxiety felt excessively, causing symptoms that can be observed.This study aimed to analyze the factors associated with death anxiety in elderly Batak tribe who live in Bandung, which includes the quality of life, life satisfaction, and culture. The study employed a descriptive correlational design, particularly cross-sectional design. There were 98 elderly who served as participants. The samples were chosen by using accidental sampling methods and criteria for inclusion. The data were analyzed by using Chi-square and binary logistic regression.The results showed that there was correlation between life satisfaction, and culture with death anxiety in elderly Batak tribe who live in Bandung (the two of factors has p value &lt; 0.001 each) and with the binary logistic regression analysis of the factors known that the satisfaction of life is the most dominant factor that associated with death anxiety with OR value of 0.122. Community nurses need to pay attention to the improvement of satisfaction of life of the elderly.The conclusion this research is High satisfaction of life of elderly people have an impact on reducing the risk of death anxiety in elderly people, without forgetting other factors.

The Effect of Person-Centered Narrative Therapy on Happiness and Death Anxiety of Elderly People

Introduction: This study was conducted with the aim of investigating the efficiency of Interventional person-centered narrative therapy on increasing happiness and reducing death anxiety in elderly people. This study, which is a single case study is in the form of multiple baselines.Methods: Of population of elderly people in nursing homes in Tehran, one person was selected using accessible sampling and participated this study. Research tool included Oxford happiness questionnaire (1989) and Templer Death Anxiety Scale. To analyze data, chart and graphical analysis were used.Results: Results showed that person-centered narrative therapy has a positive effect on increasing happiness and reducing death anxiety. Percentage change for happiness and anxiety was 42% and 53% respectively.Conclusion: The effects of these improvements largely remained during follow up period. Therefore, narrative therapy can be used that results in inner peace by having a positive theme toward events.

The Effect of Person-Centered Narrative Therapy on Happiness and Death Anxiety of Elderly People

This study was conducted with the aim of investigating the efficiency of Interventional person-centered narrative therapy on increasing happiness and reducing death anxiety in elderly people. This study, which is a single case study, is in the form of multiple baselines. Of population of elderly people in nursing homes in Tehran, one person was selected using accessible sampling and participated this study. Research tool included Oxford happiness questionnaire (1989) and Templer Death Anxiety Scale. To analyze data, chart and graphical analysis were used. Results showed that person-centered narrative therapy has a positive effect on increasing happiness and reducing death anxiety. Percentage change for happiness and anxiety was 42% and 53% respectively. The effects of these improvements largely remained during follow up period. Therefore, narrative therapy can be used that results in inner peace by having a positive theme toward events.

노인의 인지기능과 우울이 불안에 미치는 영향-융복합적 접근

본 연구의 목적은 인지기능, 우울, 불안의 관계를 파악하고, 노인의 인지기능과 우울이 불안에 미치는 영향을 파악하고자 함이다. 자료수집은 2014년 6월 1일 부터 8월 30일까지였고, 연구대상은 65세 이상 노인 363명이었으며 연구도구는 MMSE-DS, 우울, 불안이었다. 자료분석은 SPSS/WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation 상관분석, 다중회귀분석을 실시하였다. 연구결과로 불안에 영향을 미치는 요인은 수면시간(<TEX>${\beta}=-.249$</TEX>, p<.001), 우울(<TEX>${\beta}=.218$</TEX>, p<.001), 인지기능(<TEX>${\beta}=-.209$</TEX>, p<.001), 직업(<TEX>${\beta}=-.133$</TEX>, p=.006) 순이었다. 결론적으로, 적절한 수면유지와 인지기능 저하를 예방하고, 우울수준을 낮출 수 있는 융복합적인 프로그램을 개발하는 것이 필요할 것이다. This study was done to examine the relation of cognitive function, depression and anxiety in elderly people above 65 years of age, and to identify factors influencing anxiety. The data were collected from June 1 to August 30 2014. Data were collected by questionnaire from 363 elderly people. The instruments for this study were MMSE-DS, depression, anxiety. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing anxiety were sleeping time(<TEX>${\beta}=-.249$</TEX>, p<.001), depression(<TEX>${\beta}=.218$</TEX>, p<.001), cognitive function(<TEX>${\beta}=-.209$</TEX>, p<.001), occupation(<TEX>${\beta}=-.133$</TEX>, p=.006). The study reveals that it is necessary to develop a convergent program that maintain adequate sleep, prevents of cognitive impairment and decreases depression.

Psychometric properties of a new short version of the State-Trait Anxiety Inventory (STAI) for the assessment of anxiety in the elderly

IntroductionAnxiety has negative effects on the cognitive performance and psychosocial adjustment of elderly people. Given the high prevalence of anxiety symptoms in patients suffering from cognitive impairment, it has been suggested that these symptoms may be an early marker of dementia. The State-Trait Anxiety Inventory (STAI) is one of the widely-used used scales for evaluating anxiety in elderly people. However, inasmuch as the STAI may be difficult to apply to older people, having a short form of it would be desirable. MethodsThe participants comprised 489 community-dwelling individuals aged 68 years and over. All of them were volunteers in a longitudinal study for early detection of Alzheimer’ Disease (Proyecto Vallecas). The full sample was divided in two homogeneous subgroups: Group A, used to reduce the number of items and response options, and Group B, the group used to determine the psychometric properties of the new short form (STAIr). ResultsA dichotomous Rasch model was used to obtain the STAIr. No statistically significant differences for STAIr scores were found with respect to sociodemographic variables. Psychometric properties and normative data were obtained for the new short-version. ConclusionsThe STAIr is composed of 13 items and data fits the model well. Since it is short and easy to apply to elderly people, STAIr will be very useful in clinical and research settings.

Propiedades psicométricas de una nueva versión abreviada del State-Trait Anxiety Inventory (STAI) para valorar el nivel de ansiedad en personas mayores

IntroductionAnxiety has negative effects on the cognitive performance and psychosocial adjustment of elderly people. Given the high prevalence of anxiety symptoms in patients suffering from cognitive impairment, it has been suggested that these symptoms may be an early marker of dementia. The State-Trait Anxiety Inventory (STAI) is one of the most widely-used scales for evaluating anxiety in elderly people. However, inasmuch as the STAI may be difficult to apply to older people, having a short form of it would be desirable. MethodsThe participants comprised 489 community-dwelling individuals aged 68 years and over. All of them were volunteers in a longitudinal study for early detection of Alzheimer’ Disease (Proyecto Vallecas). The full sample was divided in two homogeneous subgroups: Group A, used to reduce the number of items and response options, and Group B, the group used to determine the psychometric properties of the new short form (STAIr). ResultsA dichotomous Rasch model was used to obtain the STAIr. No statistically significant differences for STAIr scores were found with respect to sociodemographic variables. Psychometric properties and normative data were obtained for the new short version. ConclusionsThe STAIr is composed of 13 items and data fits the model well. Since it is short and easy to apply to elderly people, STAIr will be very useful in clinical and research settings.

Anxiety symptoms in mild cognitive impairment

Anxiety disorders are less well studied in elderly people than other disorders such as depression. In particular the diagnosis of anxiety is more difficult in patients with Mild Cognitive Impairment (MCI) since the current definition of MCI does not mention neuropsychiatric symptoms. To validate the Italian version of Geriatric Anxiety Inventory (GAI), an instrument that measures dimensional anxiety in elderly people, and assess whether MCI subjects with anxiety symptoms show different neuropsychological profiles in comparison with MCI without anxiety symptoms. Fifty-seven outpatients with MCI were consecutively recruited. All patients were assessed using a complete neuropsychological battery to detect the cognitive impairment, and the GAI for the presence of anxiety symptoms. Anxiety + patients (GAI >or= 10) show more behavioral and psychological disturbances than patients with Anxiety- (GAI < 10); in particular they had more agitation, anxiety, depression and more sleep disorders. Moreover, Anxiety + patients are more compromised on instrumental daily functions and on executive functions evaluated with Trail Making B test (TMB). Linear Regression analysis was completed to estimate the coefficients of the linear equation, involving neuropsychological, psychobehavioural and functional characteristics: the executive functions (TMB) are the only variable independently related to the presence of anxiety disturbances. Executive functions are independently related to anxiety disorders in MCI patients. We hypothesized that the strict interaction between anxiety symptoms and executive functions could depend on specific pathological features at the level of caudate nucleus characterizing early phases of dementia.

Development and validation of the Geriatric Anxiety Inventory

Anxiety symptoms and anxiety disorders are highly prevalent among elderly people, although infrequently the subject of systematic research in this age group. One important limitation is the lack of a widely accepted instrument to measure dimensional anxiety in both normal old people and old people with mental health problems seen in various settings. Accordingly, we developed and tested of a short scale to measure anxiety in older people. We generated a large number of potential items de novo and by reference to existing anxiety scales, and then reduced the number of items to 60 through consultation with a reference group consisting of psychologists, psychiatrists and normal elderly people. We then tested the psychometric properties of these 60 items in 452 normal old people and 46 patients attending a psychogeriatric service. We were able to reduce the number of items to 20. We chose a 1-week perspective and a dichotomous response scale. Cronbach's alpha for the 20-item Geriatric Anxiety Inventory (GAI) was 0.91 among normal elderly people and 0.93 in the psychogeriatric sample. Concurrent validity with a variety of other measures was demonstrated in both the normal sample and the psychogeriatric sample. Inter-rater and test-retest reliability were found to be excellent. Receiver operating characteristic analysis indicated a cut-point of 10/11 for the detection of DSM-IV Generalized Anxiety Disorder (GAD) in the psychogeriatric sample, with 83% of patients correctly classified with a specificity of 84% and a sensitivity of 75%. The GAI is a new 20-item self-report or nurse-administered scale that measures dimensional anxiety in elderly people. It has sound psychometric properties. Initial clinical testing indicates that it is able to discriminate between those with and without any anxiety disorder and between those with and without DSM-IV GAD.

Anxiety in elderly people -- epidemiology, diagnostic features and therapeutic options

Anxiety disorders in older age represent with a prevalence rate of 10 % an important psychiatric problem, which has not been adequately recognised and diagnosed. This can be explained from the idea, that pathologic anxiety was evaluated as a normal reaction by elderly people. The actual classification of anxiety disorders with ICD-10 or DSM-IV was not sufficient and should be complemented by a syndromanal approach. The comorbidity of anxiety disorders with other psychiatric disorders, e. g. depression, and also with somatic diseases was high. The psychosocial consequences are important. Psychopharmacological and psychotherapeutic interventions have been proven in some studies and should be practised more in the future.

DEATH ANXIETY IN OLDER ADULTS: A QUANTITATIVE REVIEW

This literature review quantitatively summarized 49 published and unpublished research studies concerning the relationship between death anxiety and age, ego integrity, gender, institutionalization, physical and psychological problems, and religiosity in older adults. Results indicated that lower ego integrity, more physical problems, and more psychological problems are predictive of higher levels of death anxiety in elderly people. A suggestive but equivocal relationship was found for the predictor institutionalization. Furthermore, the review statistically demonstrated the importance of using sound methods for measuring death anxiety and sampling from the elderly population. It has been said that we may learn looking backward - we live looking forward. A person's thinking and behavior may be influenced more than we recognize by his views, hopes and fears concerning the nature and meaning of death. (Feifel,1959,p.116)