Anxiety and functional status in older primary care patients

A. K. Upadhyaya, J. M. Lyness, C. Cox, L. Seidlitz, E. D. Caine

Research output: Contribution to journalArticlepeer-review


Objective: The aim of this study was to test the hypothesis that anxiety in older primary care patients is associated with functional impairment after controlling for depression and medical comorbidity. Method: Primary care patients (n = 303), aged sixty or older were interviewed with a series of instruments designed to measure psychiatric symptoms including anxiety, depression, medical illness burden, and both examiner-rated and self-reported functional status. Anxiety was measured by the anxiety item of the Hamilton Rating Scale for Depression and the anxiety items of the Medical Outcomes Study Short Form SF-36. Multiple regression techniques were used to examine the association of anxiety with functional status after controlling for age, gender, education, medical burden, and depression. Results: When controlled for depression and medical morbidity, increased anxiety predicted poorer social function. Anxiety was not independently associated with more basic activities of daily living. Conclusions: Further studies with more comprehensive measures of anxiety are warranted to clarify the relationships between anxiety and functional status.

Original languageEnglish (US)
Pages (from-to)221-228
Number of pages8
JournalInternational journal of psychiatry in medicine
Issue number3
StatePublished - 2000
Externally publishedYes


  • Activities of daily living
  • Aged
  • Anxiety
  • Primary health care

ASJC Scopus subject areas

  • Psychiatry and Mental health


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