162515 20251017144635.0 doi 10.1016/j.semerg.2023.101923 sideral 132974 ART-2023-132974 eng Calatayud, E. Universidad de Zaragoza (orcid)0000-0002-4307-796X Sex differences on anxiety and depression in older adults and their relationship with cognitive impairment 2023 Access copy available to the general public Unrestricted Introduction: Subjective memory complaints (SMCs) in elderly adults could express cognitive decline in the future. A consensus has been reached about how these SMC relate to mood variables, but further research is required to determine which socio-demographic, cognitive, functional and occupational factors will act as predictors in elderly adults. Objetive: To analyze, through a descriptive observational study, the relationship between anxiety/depression and sex, age and occupation, with cognitive/functional performance in 367 older adults with SMC, but without objective cognitive impairment in a primary healthcare center. Methods: The cognitive variables were measured by applying the Spanish version of Mini-Mental State Examination (MEC-35) and Set-test for verbal fluency. To measure functional level, the Barthel index and Lawton and Brody scales were employed. Physical occupational status and mental occupational status were measured based on three levels, low, medium and high, according to the American Occupational Therapy Association. Results: Low educational and occupational physical and mental levels were related to anxiety and depression. In addition, differences by sex were found on anxiety and depression related to different factors. In men, anxiety was related to higher cognitive level, and in women to higher functional performance in IADLs. On the contrary, depression in men was related to lower cognitive level and higher performance in ADLs. Conclusions: It is important to maintain a sex-gender perspective on the study of anxiety and depression in elderly, taking into account social roles and the traints of the work environment, in order to avoid cognitive and functional impairment. info:eu-repo/semantics/openAccess by-nc-nd https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 0.22 2023 Family Practice 2023 Q3 Public Health, Environmental and Occupational Health 2023 Q4 1.4 2023 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Marcén-Román, Y. Universidad de Zaragoza (orcid)0000-0001-5851-8855 Rodríguez-Roca, B. Universidad de Zaragoza Salavera, C. Universidad de Zaragoza (orcid)0000-0002-8072-2390 Gasch-Gallen, A. Universidad de Zaragoza (orcid)0000-0002-3087-8899 Gómez-Soria, I. Universidad de Zaragoza (orcid)0000-0002-0061-3312 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 49, 4 (2023), 101923 [9 pp.] Semergen Semergen 1138-3593 947857 http://zaguan.unizar.es/record/162515/files/texto_completo.pdf Postprint 1232326 http://zaguan.unizar.es/record/162515/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:162515 articulos driver 2025-10-17-14:28:36 ARTICLE