title: Factors associated with symptoms of anxiety and depression in five cohorts of community-based older people: the HALCyon (Healthy Ageing across the Life Course) Programme.
abstract: BACKGROUND
  Symptoms of anxiety and depression are common in older people, but the relative importance of factors operating in early and later life in influencing risk is unclear, particularly in the case of anxiety.
  
  
  METHODS
  We used data from five cohorts in the Healthy Ageing across the Life Course (HALCyon) collaborative research programme: the Aberdeen Birth Cohort 1936, the Caerphilly Prospective Study, the Hertfordshire Ageing Study, the Hertfordshire Cohort Study and the Lothian Birth Cohort 1921. We used logistic regression to examine the relationship between factors from early and later life and risk of anxiety or depression, defined as scores of 8 or more on the subscales of the Hospital Anxiety and Depression Scale, and meta-analysis to obtain an overall estimate of the effect of each.
  
  
  RESULTS
  Greater neuroticism, poorer cognitive or physical function, greater disability and taking more medications were associated in cross-sectional analyses with an increased overall likelihood of anxiety or depression. Associations between lower social class, either in childhood or currently, history of heart disease, stroke or diabetes and increased risk of anxiety or depression were attenuated and no longer statistically significant after adjustment for potential confounding or mediating variables. There was no association between birth weight and anxiety or depression in later life.
  
  
  CONCLUSIONS
  Anxiety and depression in later life are both strongly linked to personality, cognitive and physical function, disability and state of health, measured concurrently. Possible mechanisms that might underlie these associations are discussed.
authors.affiliation: MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, UK. crg@mrc.soton.ac.uk
authors.forename: C R
authors.initials: CR
authors.lastname: Gale
authors.forename: A Aihie
authors.initials: AA
authors.lastname: Sayer
authors.forename: C
authors.initials: C
authors.lastname: Cooper
authors.forename: E M
authors.initials: EM
authors.lastname: Dennison
authors.forename: J M
authors.initials: JM
authors.lastname: Starr
authors.forename: L J
authors.initials: LJ
authors.lastname: Whalley
authors.forename: J E
authors.initials: JE
authors.lastname: Gallacher
authors.forename: Y
authors.initials: Y
authors.lastname: Ben-Shlomo
authors.forename: D
authors.initials: D
authors.lastname: Kuh
authors.forename: R
authors.initials: R
authors.lastname: Hardy
authors.forename: L
authors.initials: L
authors.lastname: Craig
authors.forename: I J
authors.initials: IJ
authors.lastname: Deary
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000453:epidemiology* / Q000523:psychology*; D002908:Chronic Disease; D015331:Cohort Studies; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009497:Neurotic Disorders / Q000453:epidemiology / Q000523:psychology; D012307:Risk Factors; D017678:Sex Distribution; D012923:Social Class; D006113:United Kingdom / Q000453:epidemiology