A prospective study of hormonal treatment and anxiety disorders in community-dwelling elderly women (the Esprit Study)

J Affect Disord. 2009 May;115(1-2):274-9. doi: 10.1016/j.jad.2008.09.007. Epub 2008 Oct 11.

Abstract

Background: The impact of hormone therapy use on late-life anxiety disorder in elderly women has not been evaluated.

Methods: Anxiety disorders were evaluated in 838 community-dwelling postmenopausal women aged 65 years and over, randomly recruited from electoral rolls. Anxiety disorders were assessed using a standardized psychiatric examination based on DSM-IV criteria, at baseline and as part of the 2- and 4-year follow-up.

Results: Multivariate logistic regression analyses adjusted for socio-demographic variables, measures of physical health and cognitive impairment, as well as current depressive symptomatology indicated no significant association between hormone therapy and anxiety disorders at baseline or after the 4-year follow-up period, regardless of type of treatment. Compared to women who have never taken hormonal therapy, no significant difference was observed for women taking continuously hormone therapy over the follow-up or those who stopped their treatment.

Conclusions: The use of hormone therapy was not associated with improved anxiety symptomatology in elderly postmenopausal women.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / epidemiology*
  • Anxiety Disorders / psychology
  • Cohort Studies
  • Cross-Sectional Studies
  • Estrogen Replacement Therapy / psychology
  • Estrogen Replacement Therapy / statistics & numerical data*
  • Female
  • Humans
  • Incidence
  • Logistic Models
  • Longitudinal Studies
  • Multivariate Analysis
  • Phobic Disorders / diagnosis
  • Phobic Disorders / epidemiology
  • Phobic Disorders / psychology