Home > Different patterns of alcohol consumption and the incidence and persistence of depressive and anxiety symptoms among older adults in Ireland: A prospective community-based study.

Carvalho, Andre F and Stubbs, Brendon and Maes, Michael and Solmi, Marco and Vancampfort, Davy and Kurdyak, Paul A and Brunoni, Andre R and Husain, Muhammad I and Koyanagi, Ai (2018) Different patterns of alcohol consumption and the incidence and persistence of depressive and anxiety symptoms among older adults in Ireland: A prospective community-based study. Journal of Affective Disorders , 238 , pp. 651-658.

BACKGROUND
The associations of different patterns of alcohol consumption and the incidence and persistence of depressive and anxiety symptoms in older age remain unclear.

METHODS
Data on 6095 adults aged ≥ 50 years old from the Irish Longitudinal Study on Aging (TILDA) was analyzed. Participants completed the CAGE instrument to screen for problematic alcohol use at baseline between October 2009 and February 2011. Outcomes were incident (assessed by the CES-D scale) and anxiety (assessed by the Hospital Anxiety and Depressive scale) symptoms after a two-year follow-up as well as persistence of probable depression and anxiety among those with a positive screen for those disorders at baseline. Associations were adjusted for potential confounders through multivariable models.

RESULTS
In the overall sample, problem drinking did not predict incident and persistent depression and anxiety in this sample. Among females, problem drinking increased the risk for incident depression (OR = 2.11; 95%CI = 1.12-4.00) and anxiety (OR = 2.22; 95%CI = 1.01-4.86). In addition, problem drinking increased the risk of persistent depressive symptoms (OR = 2.43; 95%CI = 1.05-5.06) among females.

CONCLUSION
Problem drinking may increase the risk of incident probable depression and anxiety among older females. Furthermore, problem drinking led to a higher likelihood of persistent depressive symptoms in older female participants. Interventions targeting problem drinking among older females may prevent the onset and persistence of depression in this population, while also decreasing the incidence of anxiety symptoms.


Item Type:Article
Date:2018
Page Range:pp. 651-658
Publisher:Elsevier
Volume:238
EndNote:View
Related URLs:
Subjects:F Concepts in psychology > Emotion (anxiety)
F Concepts in psychology > Psychological stress
G Health and disease > State of health > Mental health
G Health and disease > Substance use disorder > Alcohol use
T Demographic characteristics > Woman (women / female)
T Demographic characteristics > Elderly / Older person
VA Geographic area > Europe > Ireland

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