Anxiety and depression in older patients: the role of culture and acculturation.

摘要: Anxiety and depression are major health concerns in general among older adults especially during hospitalization, as they lead to numerous negative outcomes. There is currently no sufficient body of research examining the role cultural background patients’ experience these conditions. Better identifying patients at risk may help reduce inequity provide patient-centered, culturally sensitive care. The current study explores roles culture acculturation anxiety levels recent veteran Russian immigrants compared with native Israelis from Middle Eastern countries. Secondary analysis a prospective cohort cognitively intact (70+) hospitalized for acute conditions internal medical units two hospitals Israel 2009–11. Depression were assessed within 48 h admission through personal interview using Tucker Rating Short Screening Tests. Demographic data collected electronic records. Immigration status was defined by country emigration year. Study hypotheses tested employing analyses covariance, modeling symptoms separately, controlling potential confounders. Significant differences between groups observed fully adjusted models (F [3, 515] = 5.24, p < .01) when both (21 ± 5.83) (20.2 ± 5.23) expressed higher than (18.35 ± 5.23) (18 ± 5.03) (from p = .05 p < 0.01). No significant found immigrants. Both showed an interaction effect immigration sex: while Israelis, significantly women men other groups. Culture origin play central determining expression perhaps modify acculturation. During special attention should be given level not only but also Further explore whether elevated result stress due hospitalization or stable trait.