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Scared to Death: Results From the Health, Aging, and Body Composition Study

From the Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, NC (GAB); the Sticht Center on Aging, Wake Forest University School of Medicine, Winston-Salem, NC (SBK); the Division of Geriatrics, University of California at San Francisco, San Francisco, CA (KMM); the Department of Psychiatry, Neurology, and Epidemiology, University of California at San Francisco, San Francisco, CA (KY); the Clinical Research Branch, National Institute on Aging, Bethesda, MD (EMS); the Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA (HNA); the University of Pittsburgh, Pittsburgh, PA (CR); the Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, CA (SMR); the Department of Preventive Medicine, University of Tennessee, Knoxville, TN (SS); and the Institute for Research in Extramural Medicine (EMGO) and Department of Psychiatry, VU University Medical Center, Amsterdam, The Netherlands (BWJHP).

Objective: The purpose of this study is to determine if anxiety is associated with mortality and if race moderates and depression mediates this relationship.

Method: Participants are 3,015 adults aged 70–79 years.

Results: Anxiety symptoms were significant predictors of all-cause, cardiovascular, and noncardiovascular mortality among blacks but not whites. Depression was not related to mortality.

Conclusions: Although the mechanisms that underlie the relationship between anxiety and mortality are unknown, routine assessment of anxiety symptoms in clinical practice, particularly in black older adults, seems prudent.

Key Words: Anxiety • mortality • race • depression

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				G. E. Vaillant Aging Well Am J Geriatr Psychiatry, March 1, 2007; 15(3): 181 - 183. [Full Text] [PDF]