Anxiety and the risk of death in older men and women

Br J Psychiatry. 2004 Nov:185:399-404. doi: 10.1192/bjp.185.5.399.

Abstract

Background: There are inconsistent reports as to whether people with anxiety disorders have a higher mortality risk.

Aims: To determine whether anxiety disorders predict mortality in older men and women in the community.

Method: Longitudinal data were used from a large, community-based random sample (n=3107) of older men and women (55-85 years) in The Netherlands, with a follow-up period of 7.5 years. Anxiety disorders were assessed according to DSM-III criteria in a two-stage screening design.

Results: In men, the adjusted mortality risk was 1.78 (95% CI 1.01-3.13) in cases with diagnosed anxiety disorders at baseline. In women, no significant association was found with mortality.

Conclusions: The study revealed a gender difference in the association between anxiety and mortality. For men, but not for women, an increased mortality risk was found for anxiety disorders.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anxiety Disorders / mortality*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Proportional Hazards Models
  • Risk Factors
  • Sex Factors