Prevalence of DSM-IV psychiatric disorder in the French elderly population

Ritchie, Karen; Artéro, Sylvaine; Beluche, Isabelle; Ancelin, Marie-Laure; Mann, Anthony; Dupuy, Anne‐Marie; Malafosse, Alain; Boulenger, J.-P.

doi:10.1192/bjp.184.2.147

Cited by 296 publications

(289 citation statements)

References 20 publications

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“…1998) according to the DSM‐IV‐TR criteria (Ritchie et al. 2004). We excluded 15 AVPD patients with comorbid axis I disorder (eight major depressive disorder [MDD], five panic disorder, and two bipolar disorder).…”

Section: Methodsmentioning

confidence: 99%

Sex determines cortisol and alpha‐amylase responses to acute physical and psychosocial stress in patients with avoidant personality disorder

et al. 2016

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IntroductionsAvoidant personality disorder (AVPD) has excessive and pervasive anxiety and discomfort in social situations. The aims of this study were to explore the relationship between AVPD and physical and psychological stress and psychological tests.MethodsWe evaluated 93 AVPD patients and 355 nonpatient controls by salivary amylase and cortisol responses during exposure to the Trier Social Stress Test (TSST) and electrical stimulation stress. Spielberger state‐trait anxiety inventory (STAI), Profile of Mood State (POMS), Beck Depression Inventory (BDI), Depression and Anxiety Cognition Scale (DACS), and Childhood Trauma Questionnaire (CTQ) were administered.ResultsFollowing electrical stimulation, salivary cortisol levels in female AVPD decreased significantly less than that in female's controls, but salivary cortisol levels did not show a difference between male AVPD patients and controls. Salivary alpha‐amylase (sAA) levels did not show a difference between females or male AVPD patients and controls. Following TSST exposure, sAA levels did not show a difference between females or male AVPD patients and controls. Salivary cortisol levels did not show a difference between females or male AVPD patients and controls. In the AVPD patients, POMS scores were significantly higher compared with the controls. STAI, BDI, DACS scores, and CTQ significantly increased in the AVPD patients compared with the controls. LF in heart rate variability in AVPD significantly increased more compared with controls.ConclusionsThese results suggest that heightened sympathetic reactivity in female AVPD co‐occurs with attenuated salivary cortisol responses to electric stimulation stress and there is a significant difference between AVPD and controls in mood, anxiety, social cognition, and automatic nerve systems.

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Section: Methodsmentioning

confidence: 99%

Sex determines cortisol and alpha‐amylase responses to acute physical and psychosocial stress in patients with avoidant personality disorder

et al. 2016

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“…Ageing, depression, anxiety, social support and cortisol A high prevalence of anxiety and depression has been reported in older adults (Ritchie et al, 2004) and is associated with mortality in this population ( [Blazer, 1982] and [Schulz et al, 2000]). Due to methodological differences there is variation in rates (Girling et al, 1995).…”

Section: Depression Anxiety Social Support and Cortisolmentioning

confidence: 99%

Ageing, depression, anxiety, social support and the diurnal rhythm and awakening response of salivary cortisol

Heaney¹,

Phillips²,

Carroll³

2010

International Journal of Psychophysiology

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The present study compared the cortisol awakening response and diurnal rhythm in 24 young healthy students and 48 community-dwelling older adults. The associations with diurnal cortisol and depression, anxiety and social support were also examined in relation to age. Salivary cortisol was measured over the course of one day: immediately upon awakening, 30 min later, and then 3 h, 6 h, 9 h and 12 h post-awakening. Participants completed a questionnaire measuring symptoms of anxiety and depression and social support was assessed. Older adults exhibited a significantly reduced awakening response, overall cortisol levels, area under the curve (AUC) and diurnal slopes than younger adults, resulting in a flatter diurnal rhythm. Younger adults with higher depression scores had significantly higher overall cortisol and higher levels upon awakening and 30 min postawakening. In the younger adults, anxiety and depression correlated positively with AUC and the cortisol awakening response (CAR). Older adults with lower social support had a reduced AUC where younger adults with lower social support displayed a larger AUC. These findings suggest that the diurnal rhythm and awakening response of salivary cortisol are significantly reduced in older adults and the associations between anxiety, depression and social support and diurnal cortisol vary with age.

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“…Data were obtained from the ESPRIT study of psychiatric disorders in community-dwelling elderly (Ritchie et al, 2004). Eligible participants (aged at least 65 years and noninstitutionalised) were randomly selected from the electoral rolls in Montpellier, France.…”

Section: Study Populationmentioning

confidence: 99%

“…Cases detected by the MINI were reviewed by a panel of psychiatrists to validate the initial diagnosis (Ritchie et al, 2004). Current use of anxiolytics, validated by presentation of the prescription or medication, was also recorded.…”

Section: Anxiety Disordersmentioning

confidence: 99%

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Estrogen receptor gene variants are associated with anxiety disorders in older women

Ryan

Scali

Carrière

et al. 2011

Psychoneuroendocrinology

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Prevalence of DSM-IV psychiatric disorder in the French elderly population

Abstract: Results show very high rates of lifetime but not current major depression. Rates of current phobia and suicidal ideation in the very elderly are also high compared with other studies. The rates reported are likely to be underestimates.

Cited by 296 publications

References 20 publications

Sex determines cortisol and alpha‐amylase responses to acute physical and psychosocial stress in patients with avoidant personality disorder

Sex determines cortisol and alpha‐amylase responses to acute physical and psychosocial stress in patients with avoidant personality disorder

Ageing, depression, anxiety, social support and the diurnal rhythm and awakening response of salivary cortisol

Estrogen receptor gene variants are associated with anxiety disorders in older women

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