title: Anxiety symptoms among assisted living residents: implications of the "no difference" finding for participants with and without dementia.
abstract: Anxiety is a distressing experience at any age but may be particularly disabling when coupled with dementia. Dementia-related anxiety is associated with a range of additional problems among community-dwelling older adults, but little is known about its occurrence in assisted living environments. The purpose of this article is to describe the prevalence of anxiety symptoms among older adults who participated in Phase I of the Maryland Assisted Living Study, a cross-sectional study of 198 participants who underwent comprehensive dementia evaluations. Participants with dementia diagnoses (n=134) were compared with those without dementia (n=64) using two measures of anxiety. Anxiety was common in both groups: 22% of each group were assessed to have one or more anxiety symptoms using proxyrated methods, and 45% had at least mild anxiety using direct observation and interview. Factors that contribute to variability in reports of dementia-related anxiety are reviewed.
authors.affiliation: The University of Iowa College of Nursing, Iowa City, IA 52242, USA. marianne-smith@uiowa.edu
authors.forename: Marianne
authors.initials: M
authors.lastname: Smith
authors.forename: Quincy M
authors.initials: QM
authors.lastname: Samus
authors.forename: Cynthia
authors.initials: C
authors.lastname: Steele
authors.forename: Alva
authors.initials: A
authors.lastname: Baker
authors.forename: Jason
authors.initials: J
authors.lastname: Brandt
authors.forename: Peter V
authors.initials: PV
authors.lastname: Rabins
authors.forename: Constantine
authors.initials: C
authors.lastname: Lyketsos
authors.forename: Adam
authors.initials: A
authors.lastname: Rosenblatt
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D040561:Assisted Living Facilities / Q000458:organization & administration; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003704:Dementia / Q000150:complications* / Q000175:diagnosis; D005163:Factor Analysis, Statistical; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007297:Inpatients / Q000523:psychology / Q000706:statistics & numerical data; D008297:Male; D008396:Maryland / Q000453:epidemiology; D009730:Nursing Assessment; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012720:Severity of Illness Index