RESUMEN
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 (ß = 0.196; p = 0.04) and fears (ß = 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.
Asunto(s)
Trastornos de Ansiedad/epidemiología , Inestabilidad de la Articulación/psicología , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Trastornos del Humor/psicología , Prevalencia , Calidad de Vida , Población Rural/estadística & datos numéricos , España/epidemiologíaRESUMEN
A pesar de que la siniestralidad en carretera en España ha disminuido en los últimos años, queda un amplio margen de mejora. En este trabajo se pretende analizar la percepción de alcoholemia y la capacidad de predecirla tras medidas repetidas de la alcoholemia y la capacidad objetiva y subjetiva de conducción después de una ingesta de alcohol en el contexto de una comida. Tras una comida con ingesta libre de alcohol se procedió a la medición de la tasa de alcohol en aire espirado (AAE), preguntando antes por el nivel estimado y capacidad de conducción, después de cada medición se informaba del resultado obtenido. Participaron 34 individuos. La edad mediana fue de 56 (28-85) años. El consumo mediano 6 (2-10) unidades estándar de bebida. El tiempo mediano en alcanzar 0,25 mg/l (límite legal para conducir en España) fue de 83 (15-165) min. La correlación entre consumo de vino y tiempo hasta descender a 0,25, r=0,42 (p=0,013). No se halló significación estadística en las repetidas diferencias entre valor por alcoholímetro y estimación subjetiva; 22 individuos manifestaron en alguna determinación capacidad para conducir a pesar de un nivel objetivo o subjetivo>0,25. Se observó poca capacidad de predicción para estimar la tasa de AAE en medidas repetidas a pesar de darse el valor real en cada determinación. Asimismo se considera alto grado de incoherencia/imprudencia para conducir, pues un porcentaje superior al 50% decían poder conducir a pesar de estar por encima de los límites legales de manera objetiva o subjetiva en alguna determinación
In spite of the reduction in the number of fatal traffic accidents in Spain over the last few years, there is, however, some room for improvement. This paper sets out to analyse the perception of blood alcohol level and ability to predict this and the objective and subjective ability to drive after alcohol intake in a meal setting. After a meal with free consumption of alcohol, the alcohol in the breath was measured, first asking about the estimated level and ability to drive. After each measurement, the participant was informed of his/her results. 34 persons participated. The average age (range) was 56 (28-85) years old. The average consumption was 6 (2-10) alcohol units. The average time to reach 0.25mg/l (the legal limit authorized for driving in Spain) was 83 (15-165) min. The correlation between consumption and time to reach 0.25 was r=0.42 (p=0.013). No statistical significance was found in the repeated differences between breathalyser value and subjective estimation; 22 persons declared some capability to drive in spite of there being an objective/ subjective level over 0.25. The capacity to predict the level of alcohol in the breath in repeated measurements was poor in spite of giving the real value in each determination. A high degree of incoherence/ imprudence for driving was observed, as over 50% of participants stated that they were able to drive although their alcohol level was objectively or subjectively over the limit in some determinations