{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:41:56Z","timestamp":1792078916529,"version":"4.4.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2000,5,1]],"date-time":"2000-05-01T00:00:00Z","timestamp":957139200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2000,5]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> Data on the course of anxiety in late life are scarce. The present study sets out to \ninvestigate the course of anxiety, as measured by the HADS-A (Zigmond &amp; Snaith, 1983) in \ncommunity dwelling older persons, and to evaluate predictive factors for change over 3 years in \nanxiety symptoms following the vulnerability\/stress model.<\/jats:p><jats:p><jats:bold>Method.<\/jats:bold> Based on the first anxiety assessment, two cohorts were formed: subjects with and subjects \nwithout anxiety symptoms. In the non-anxious cohort (<jats:italic>N<\/jats:italic> = 1602) we studied risk factors for the \ndevelopment of anxiety symptoms; in the anxious cohort (<jats:italic>N<\/jats:italic> = 563) the same factors were evaluated \non their predictive value for restitution of symptoms. Risk factors included vulnerability factors \n(demographics, health status, personality characteristics and social resources) and stressors (life \nevents occurring in between both anxiety assessments). Logistic regression models estimated the \neffects of vulnerability factors, stress and their interaction on the likelihood of becoming anxious \nand chronicity of anxiety symptoms.<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> It was indicated that the best predictors for becoming anxious were being female, high \nneuroticism, hearing\/eyesight problems and life-events. Female sex and neuroticism also increased \nthe likelihood of chronicity of anxiety symptoms in older adults, but life events were not related to \nchronicity. The main stressful event in late life associated with anxiety was death of one's partner. \nVulnerability factors and stress added on to each other rather than their interaction being associated \nwith development or chronicity of anxiety.<\/jats:p><jats:p><jats:bold>Conclusion.<\/jats:bold> The vulnerability\/stress model offers a useful framework for organizing risk factors for \ndevelopment and chronicity of anxiety symptoms in older persons, but no support was attained for \nthe hypothesis that vulnerability and stress amplify each others effects. Finally, the results indicate \nto whom preventive efforts should be directed: persons high in neuroticism, women, and those who \nexperience distressing life events.<\/jats:p>","DOI":"10.1017\/s0033291799001956","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T13:33:33Z","timestamp":1027776813000},"page":"515-527","source":"Crossref","is-referenced-by-count":76,"title":["Predictors of change in anxiety symptoms of older \npersons: results from the Longitudinal Aging Study \nAmsterdam"],"prefix":"10.1017","volume":"30","author":[{"given":"E.","family":"DE BEURS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. T. F.","family":"BEEKMAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. J. H.","family":"DEEG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"VAN DYCK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"VAN TILBURG","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2000,5,1]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291799001956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T19:39:29Z","timestamp":1554752369000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291799001956\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,5]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2000,5]]}},"alternative-id":["S0033291799001956"],"URL":"https:\/\/doi.org\/10.1017\/s0033291799001956","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,5]]}}}