ANXIETY AND QUALITY OF LIFE IN OLDER ADULTS: THE ROLE OF SATISFACTION WITH OPEN ELDERLY CARE CENTERS
DOI:
https://doi.org/10.46827/ejphs.v8i4.234Keywords:
anxiety, satisfaction, Open Care Centers for the Elderly, quality of life, aging, gender differencesAbstract
The growing global population of older adults has led to increased research on psychiatric conditions in later life. Anxiety and depression are frequent in this population but are often underdiagnosed due to their overlap with physical illnesses. Most existing research indicates a negative relationship between psychological distress and quality of life in the elderly. This study aimed to examine the relationship between anxiety, satisfaction with Open Elderly Care Centers, and quality of life, while also exploring the role of gender. A cross-sectional design was used with a sample of 349 older adults attending Open Elderly Care Centers in Greece. Participants completed the Geriatric Anxiety Scale (GAS), the OPQOL-35 quality of life questionnaire, and a demographic survey. Correlational analysis and independent tests were conducted. Higher levels of anxiety were significantly associated with lower quality of life (r = –0.21, p < 0.001), with a stronger effect among men (r = –0.44). Women reported higher anxiety scores but also slightly higher quality of life. Satisfaction with care services showed no significant correlation with quality of life, and gender had no moderating effect on this relationship. The findings confirm a negative link between anxiety and quality of life in older adults, supporting previous literature. The lack of association between satisfaction with care and quality of life highlights the complexity of these relationships. Gender differences in emotional response may merit further exploration.
References
Beutel, M. E., Jünger, C., Klein, E. M., Brähler, E., Michal, M., & Tibubos, A. N. (2021). Mental health and quality of life in the elderly: Longitudinal findings from the German population. BMC Geriatrics, 21(1), 1–10. https://doi.org/10.1186/s12877-021-02150-y
Brett, C. E., Gow, A. J., Corley, J., Pattie, A., Starr, J. M., & Deary, I. J. (2022). Anxiety symptoms and quality of life across the eighth decade: Findings from a longitudinal cohort study. Psychology and Aging, 37(3), 220–231. https://doi.org/10.1037/pag0000663
Dangerfield, H. J., Scott, J. M., Zohn, J. H., Segal, D. L., & Benton, M. J. (2023). Relationship between anxiety and quality of life among older adults with self-reported polypharmacy in long-term care: A cross-sectional study. Journal of Advanced Nursing, 79(8), 2978–2988. https://doi.org/10.1111/jan.15691
Ding, S., Liu, G., Xu, F., Ji, K., Zhao, L., Zheng, X., Benjamin, O., Wang, Z., Yang, S., & Chen, R. (2022). The satisfaction of elderly people with elderly caring social organizations and its relationship with social support and anxiety during the COVID-19 pandemic: A cross-sectional study. BMC Geriatrics, 22(1), 827. https://doi.org/10.1186/s12877-022-03547-8
Grenier, S., Vasiliadis, H. M., Préville, M., & Boyer, R. (2019). Anxiety in older adults: A critical review of current research and perspectives. Clinical Geriatrics, 27(1), 12–22.
López, J., Pérez-Rojo, G., Noriega, C., Sánchez-Cabaco, A., Sitges, E., & Bonete, B. (2020). Quality of life in older adults: Its association with emotional distress and psychological well-being. Aging & Mental Health, 24(11), 1945–1952. https://doi.org/10.1080/13607863.2019.1660858
Patsios, D., Pliakas, T., & Polychronopoulou, S. (2015). Community care for older people in Greece: The role of Open Care Centers for the Elderly (KAPI). Social Work Review, 123, 45–59.
Reynolds, C. F., Cuijpers, P., Patel, V., Cohen, A., Dias, A., Chowdhary, N., & Saxena, S. (2020). Early intervention to reduce the global health and economic burden of major depression in older adults. Annual Review of Public Health, 41, 225–242. https://doi.org/10.1146/annurev-publhealth-040119-094247
Santini, Z. I., Jose, P. E., Cornwell, E. Y., Koyanagi, A., Nielsen, L., Hinrichsen, C., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): A longitudinal mediation analysis. The Lancet Public Health, 5(1), e62–e70. https://doi.org/10.1016/S2468-2667(19)30230-0
Tinios, P., Daskalopoulou, D., & Triantafyllidou, A. (2021). Aging in Greece: Challenges and policy directions (Hellenic Observatory Papers on Greece and Southeast Europe, No. 162). London School of Economics. https://www.lse.ac.uk/Hellenic-Observatory/Publications/Papers
Wang, Y., Wang, D., Han, B., & Xu, L. (2023). Gender differences in mental health service utilization among older adults: A population-based study. BMC Public Health, 23(1), 1092. https://doi.org/10.1186/s12889-023-15992-2
World Health Organization. (2017). Mental health of older adults. Geneva: World Health Organization. https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults
World Health Organization. (2021). Decade of healthy ageing 2021–2030. Geneva: World Health Organization. https://www.who.int/initiatives/decade-of-healthy-ageing
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