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The assessment of anxiety in aged care residents: a systematic review of the psychometric properties of commonly used measures

Published online by Cambridge University Press:  10 December 2017

Alexandra S. Creighton ,
Tanya E. Davison  and
David W. Kissane
Alexandra S. Creighton
Affiliation:
School of Psychological Sciences, Monash University, Clayton, Victoria, Australia Department of Psychiatry, Monash University, Clayton, Victoria, Australia
Tanya E. Davison
Affiliation:
Department of Psychiatry, Monash University, Clayton, Victoria, Australia Institute for Health & Ageing, Australian Catholic University, Melbourne, Victoria, Australia
David W. Kissane*
Affiliation:
Department of Psychiatry, Monash University, Clayton, Victoria, Australia
*
Correspondence should be addressed to: Professor D. W. Kissane, Level 3, P Block, Monash Medical Centre, 256 Clayton Road, Clayton, Victoria, 3168, Australia. Phone: (+613) 9594 1479. Email: [email protected].
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Abstract

Background:

Assessing anxiety among residential aged care facility (RACF) residents is challenging, and it cannot be assumed that valid and reliable measures used within the community are also appropriate for this setting. This review systematically examined the literature to identify which anxiety measures were most commonly used with older adults in RACFs, and determine whether psychometric data support their use within this population.

Methods:

Using the PRISMA guidelines, five electronic databases were searched using key terms and subject headings. The search was limited to literature published in English. Eligible studies utilized an anxiety measure to assess anxiety symptoms among RACF residents. Based on the findings of this search, a critical review of the research into the reliability, validity, and administrative and respondent burden of the most commonly used measures (i.e. used in four or more studies) was conducted.

Results:

In total, 1,771 articles were identified, with 50 studies included in this review. Overall, 22 measures were used, with the majority of studies utilizing a clinician-administered or self-report measure. The RAID, HADS, STAI, and GAI were the most commonly used measures. While overall there is a lack of research and consensus into the psychometric properties of these measures within RACFs, strongest evidence of reliability and validity was found for the GAI.

Conclusion:

Commonly used measures of anxiety within aged care populations are not well validated for this complex subsample of older adults. Strengths and weaknesses of each measure with regards to their usefulness in aged care settings are discussed, with future research areas highlighted.

Keywords

residential aged carenursing homelong-term carescreeningassessmentanxietyassessment measures
Type
Review Article
Information
International Psychogeriatrics , Volume 30 , Issue 7: Issue Theme: Benzodiazepines and Hypnotics , July 2018 , pp. 967 - 979
Copyright
Copyright © International Psychogeriatric Association 2017 

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