ABSTRACT

Objectives

To identify profiles of aging by combining psychological distress, cognition and functional disability, and their associated factors.

Methods

Data were drawn from the Étude sur la Santé des Aînés-Services study and included 1585 older adults. Sociodemographic, psychosocial, lifestyle and health factors were informed from structured interviews. Group-based multi-trajectory modeling and multinomial logistic regression were used to identify aging profiles and correlates. Sampling weights were applied to account for the sampling plan.

Results

The weighted sample size was 1591. Three trajectories were identified: a favorable (79.0%), intermediate (14.5%), and severe scenario (6.5%). Factors associated with the severe scenario were older age, male gender, lower education, the presence of anxiety disorders, low physical activity, and smoking. Membership in the intermediate scenario was associated with daily hassles, physical disorders, anxiety and depression, antidepressant/psychotherapy use, low physical activity, and no alcohol use. High social support was protective against less favorable profiles.

Conclusions

Symptoms of anxiety and depression and high burden of physical disorders were associated with less favorable trajectories. Modifiable lifestyle factors have a significant effect on healthy aging.

Clinical implications

Assessment and management of anxio-depressive symptoms are important in older adults. Clinical interventions including access to psychotherapy and promotion of healthier lifestyles should be considered.

中文翻译：

---

初级保健老年人的心理困扰、认知和功能性残疾轨迹特征

摘要

目标

通过结合心理困扰、认知和功能障碍及其相关因素来确定衰老概况。

方法

数据来自 Étude sur la Santé des Aînés-Services 研究，包括 1585 名老年人。通过结构化访谈了解社会人口、社会心理、生活方式和健康因素。基于组的多轨迹建模和多项逻辑回归用于识别衰老概况和相关性。应用抽样权重来考虑抽样计划。

结果

加权样本量为 1591。确定了三种轨迹：有利（79.0%）、中间（14.5%）和严重（6.5%）情景。与严重情况相关的因素包括年龄较大、男性、教育程度较低、存在焦虑症、体力活动少和吸烟。中间情景中的会员资格与日常麻烦、身体疾病、焦虑和抑郁、抗抑郁药/心理治疗的使用、体力活动少和不饮酒有关。较高的社会支持可以防止形象不佳。

结论

焦虑和抑郁的症状以及身体疾病的高负担与不太有利的轨迹有关。可改变的生活方式因素对健康老龄化具有显着影响。

临床意义

焦虑抑郁症状的评估和管理对于老年人来说很重要。应考虑临床干预措施，包括接受心理治疗和促进更健康的生活方式。