Prevalence of mental disorders in elderly people: the European MentDis_ICF65+study

被引:234
作者
Andreas, Sylke [1 ,2 ]
Schulz, Holger [3 ]
Volkert, Jana [3 ]
Dehoust, Maria [3 ]
Sehner, Susanne [4 ]
Suling, Anna [4 ]
Ausin, Berta [5 ]
Canuto, Alessandra [6 ]
Crawford, Mike [7 ]
Da Ronch, Chiara [8 ]
Grassi, Luigi [8 ]
Hershkovitz, Yael [9 ]
Munoz, Manuel [10 ]
Quirk, Alan [11 ]
Rotenstein, Ora [12 ]
Belen Santos-Olmo, Ana [13 ]
Shalev, Arieh [14 ]
Strehle, Jens [15 ]
Weber, Kerstin [16 ]
Wegscheider, Karl [17 ]
Wittchen, Hans-Ulrich [18 ]
Haerter, Martin [19 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Hamburg, Germany
[2] Alpen Adria Univ Klagenfurt, Inst Psychol, Klagenfurt, Austria
[3] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Hamburg, Germany
[4] Univ Med Ctr Hamburg Eppendorf, Dept Biometry & Epidemiol, Hamburg, Germany
[5] Univ Complutense Madrid, Sch Psychol, Madrid, Spain
[6] Univ Hosp Geneva HUG, Div Liaison Psychiat & Crisis Intervent, Dept Psychiat & Mental Hlth, Geneva, Switzerland
[7] Royal Coll Psychiatrists, London, England
[8] Univ Ferrara, Sect Psychiat, Dept Biomed & Specialty Surg Sci, Ferrara, Italy
[9] Hadassah Univ, Dept Psychiat, Kiryat Hadassah, Med Ctr, Jerusalem, Israel
[10] Univ Complutense Madrid, Sch Psychol, Madrid, Spain
[11] Royal Coll Psychiatrists, London, England
[12] Hadassah Univ, Dept Psychiat, Kiryat Hadassah, Jerusalem, Israel
[13] Univ Complutense Madrid, Sch Psychol, Madrid, Spain
[14] Hadassah Univ Med Ctr, Dept Psychiat, Kiryat Hadassah Jerusale, Israel
[15] Inst Clin Psychol & Psychotherapy, Ctr Clin Epidemiol & Longitudinal Studies, Dresden, Germany
[16] Univ Hosp Geneva, Div Liaison Psychiat & Crisis Intervent, Dept Psychiat & Mental Hlth, Geneva, Switzerland
[17] Univ Med Ctr Hamburg Eppendorf, Dept Biometry & Epidemiol, Hamburg, Germany
[18] Inst Clin Psychol & Psychotherapy, Ctr Clin Epidemiol & Longitudinal Studies, Dresden, Germany
[19] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Hamburg, Germany
关键词
HEALTH SURVEY; RISK-FACTORS; OLD-AGE; DEPRESSION; ANXIETY; RATES; NONRESPONSE; COMORBIDITY; SEVERITY; STATE;
D O I
10.1192/bjp.bp.115.180463
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Except for dementia and depression, little is known about common mental disorders in elderly people. Aims To estimate current, 12-month and lifetime prevalence rates of mental disorders in different European and associated countries using a standardised diagnostic interview adapted to measure the cognitive needs of elderly people. Method The MentDis_ICF65+ study is based on an age-stratified, random sample of 3142 older men and women (65-84 years) living in selected catchment community areas of participating countries. Results One in two individuals had experienced a mental disorder in their lifetime, one in three within the past year and nearly one in four currently had a mental disorder. The most prevalent disorders were anxiety disorders, followed by affective and substance-related disorders. Conclusions Compared with previous studies we found substantially higher prevalence rates for most mental disorders. These findings underscore the need for improving diagnostic assessments adapted to the cognitive capacity of elderly people. There is a need to raise awareness of psychosocial problems in elderly people and to deliver high-quality mental health services to these individuals.
引用
收藏
页码:125 / 131
页数:7
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