{"title":"Exploring risk and protective factors for anxiety in older adults living with chronic conditions: A longitudinal analysis","authors":"Zhichao Hao , Tingzhang Yang , Xiaofu Pan","doi":"10.1016/j.gerinurse.2025.03.030","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This longitudinal study aims to explore risk and protective factors associated with anxiety to tailor supportive services for older adults according to their changing needs.</div></div><div><h3>Methods</h3><div>Utilizing rounds 5–9 of the National Health and Aging Trends Study (NHATS), 3541 older adults were studied. The Transactional Theory of Stress and Coping (TTSC) model was utilized to select predictors. Descriptive analysis was conducted and a Generalized Estimating Equation (GEE) was applied.</div></div><div><h3>Results</h3><div>Age, gender, marital status, income, race and ethnicity, self-rated health, number of chronic conditions, cognitive capacity, frequency of negative feelings, self-realization, self-efficacy and resilience, activity participation, and technology use were significantly associated with anxiety. However, anxiety did not change over time.</div></div><div><h3>Conclusions</h3><div>The findings highlight the need to link resources to caregivers and call for efficient chronic condition management. Recommendations from healthcare providers, proper education of healthy lifestyle, and engaging in more physical activities can also make a difference.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"63 ","pages":"Pages 258-266"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0197457225001284","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
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Abstract
Objective
This longitudinal study aims to explore risk and protective factors associated with anxiety to tailor supportive services for older adults according to their changing needs.
Methods
Utilizing rounds 5–9 of the National Health and Aging Trends Study (NHATS), 3541 older adults were studied. The Transactional Theory of Stress and Coping (TTSC) model was utilized to select predictors. Descriptive analysis was conducted and a Generalized Estimating Equation (GEE) was applied.
Results
Age, gender, marital status, income, race and ethnicity, self-rated health, number of chronic conditions, cognitive capacity, frequency of negative feelings, self-realization, self-efficacy and resilience, activity participation, and technology use were significantly associated with anxiety. However, anxiety did not change over time.
Conclusions
The findings highlight the need to link resources to caregivers and call for efficient chronic condition management. Recommendations from healthcare providers, proper education of healthy lifestyle, and engaging in more physical activities can also make a difference.
期刊介绍：
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.
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