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

Andreas, Sylke; Schulz, Holger; Volkert, Jana; Dehoust, Maria Christina; Sehner, Susanne; Suling, Anna; Ausín, Berta; Canuto, Alessandra; Crawford, Mike; Ronch, Chiara Da; Grassi, Luigi; Hershkovitz, Yael; Muñoz, Manuel; Quirk, Alan; Rotenstein, Ora; Santos-Olmo, Ana Belén; Shalev, Arieh Y.; Strehle, Jens; Weber, Kerstin; Wegscheider, Karl; Wittchen, Hans‐Ulrich; Härter, Martin

doi:10.1192/bjp.bp.115.180463

Cited by 291 publications

(201 citation statements)

References 34 publications

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“…5,11,[39][40][41] The CES-D-10 cut-off of greater than or equal to 8 showed closest similarity to other depression definitions in population-based studies of older adults and had the higher validity for screening purposes. 5,11,[39][40][41] The CES-D-10 cut-off of greater than or equal to 8 showed closest similarity to other depression definitions in population-based studies of older adults and had the higher validity for screening purposes.…”

Section: Discussionmentioning

confidence: 99%

“…2 In addition, depression is associated with several somatic consequences further increasing its burden of disease. 4 Previous studies have generated inconsistent findings about the prevalence of mental illness among older adults, 5 although most studies report increasing prevalence rates of depression in old age. 2 Late-life depression (LLD) is defined as depression that occurs after 65 years of age and significantly impacts and diminishes quality of life in this population.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of depressive symptoms and its associated factors among healthy community‐dwelling older adults living in Australia and the United States

Mohebbi

Agustini

Woods

et al. 2019

Int J Geriat Psychiatry

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Objective This study was conducted to estimate prevalence rates and factors associated with depressive symptoms indexed by the Centre for Epidemiological Studies‐Depression (CES‐D‐10) score in a large sample of community‐dwelling healthy older adults from Australia and the United States. Convergent and divergent validity of the CES‐D‐10 were also examined. Methods A total of 19 114 individuals aged greater than or equal to 65 years old were enrolled from a primary prevention clinical trial. Depressive symptoms were classified using the CES‐D‐10 score greater than or equal to 8 and greater than or equal to 10. Gender‐specific prevalence for subgroups according to sociodemographic characteristics were reported, and factors associated with depressive symptoms were estimated. Results The overall prevalence rates of depressive symptoms were 9.8%, 95% CI, 8.5‐11.2 and 5.0%, 95% CI, 4.0‐6.0, according to the CES‐D‐10 score greater than or equal to 8 and greater than or equal to 10, respectively. Depressive symptoms were more common in women, individuals with less than 12 years of education, those living alone or in a residential care, ethnic minorities, current smokers, and former alcohol users. Convergent and divergent validities of the CES‐D‐10 were confirmed by observing strong negative association with the SF‐12 mental health component and a modest negative association with SF‐12 physical component, respectively. Conclusions This study reports the prevalence of depressive symptoms in Australian and US community‐dwelling healthy older populations. These findings emphasize the high burden of the condition and factors associated with depressive symptoms, to better inform clinicians and help with early detection and treatment of depression in this age group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of depressive symptoms and its associated factors among healthy community‐dwelling older adults living in Australia and the United States

Mohebbi

Agustini

Woods

et al. 2019

Int J Geriat Psychiatry

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“…Additionally, the 65-and-older age group’s share of the total population will rise to nearly 24 percent from 15 percent. [1] Anxiety disorders are among the most prevalent mental health issues in the elderly [2]. A systematic literature review revealed that the prevalence of anxiety disorders in clinical settings ranges from 1.2% to 28% in elderly patients [3].…”

Section: Introductionmentioning

confidence: 99%

Pharmacological Management of Anxiety Disorders in the Elderly

Crocco

Jaramillo

Cruz-Ortiz

et al. 2017

Curr Treat Options Psych

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Opinion Statement Anxiety disorders are common in the elderly. Additionally, anxiety symptoms often accompany co-morbid psychiatric, medical, as well as neurodegenerative diseases in the older population. Anxiety in the elderly, often accompanied by depression, can lead to worsening physical, cognitive and functional impairments in this vulnerable population. Antidepressants are considered first line treatment. Both SSRIs and SNRIs are efficacious and well-tolerated in the elderly. Some SSRIs are strong inhibitors of the cytochrome P450 hepatic pathway whereas others have less potential for drug interaction. Those antidepressants with more favorable pharmacokinetic profiles should be considered first-line in the treatment of anxiety. Mirtazapine and vortioxetine are also considered safe treatment options. Buspirone may have benefit, but lacks studies in elderly populations. Although tricyclic/tetracyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) may be effective in the elderly, their side effect and safety profiles are suboptimal and thus are not recommended in late-life. Benzodiazepines and beta blockers should generally be avoided when treating anxiety in the elderly. There is not enough evidence to support the use of antipsychotics or mood stabilizers given their risk of problems in both the long and short term. In addition, antipsychotics have a black box warning for increased mortality in elderly patients with dementia.

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“…Um estudo europeu estimou que um em cada dois idosos havia experimentado um transtorno mental durante a vida e um em cada quatro apresentava-se afetado por doença mental no momento da entrevista. Esses autores reafirmam a necessidade do fornecimento de serviços em saúde mental de boa qualidade para essa faixa etária 7 . Sobre a qualidade dos serviços ambulatoriais produzidos após o movimento de reforma psiquiátrica, um estudo do Conselho Regional de Medicina do Estado de São Paulo apontou falhas no funcionamento dos Centros de Atenção Psicossocial (CAPS), como falta de retaguarda para internações psiquiátricas e emergências, falta de profissionais médicos, entre outras, que prejudicam o atendimento em saúde mental 8 .…”

Section: Introductionunclassified

Associação entre transtornos mentais e autoavaliação de saúde em idosos

Freire

Marín

Lazarini

2017

Debates em Psiquiatria

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Objetivos: Analisar fatores associados à autoavaliação de saúde em idosos com transtornos mentais. Métodos: Estudo quantitativo, analítico transversal, realizado com 138 idosos portadores de transtornos mentais em um ambulatório de saúde mental. A variável de desfecho foi a autoavaliação de saúde. As variáveis de exposição foram demográficas (sexo, idade, escolaridade e estado conjugal), atividades básicas de vida diária (ABVD), atividades instrumentais de vida diária (AIVD) e características dos transtornos mentais (idade do primeiro diagnóstico, quantidade e categorias dos diagnósticos). Para a análise, foi utilizado o teste qui-quadrado. Resultados: Ser analfabeto, ter ensino fundamental incompleto e dependência severa ou total no teste de ABVD tiveram associação com autoavaliação negativa de saúde. A análise estatística mostra significância entre características dos transtornos mentais e autoavaliação de saúde. Idosos que tem apenas um diagnóstico avaliaram sua saúde como positiva. Os diagnósticos de transtornos mentais e comportamentais do grupo F20-F29 segundo a 10ª edição da Classificação Internacional de Doenças (CID-10) apresentaram associação com autoavaliação positiva de saúde. Já os do grupo F30-F39 tiveram uma autoavaliação negativa de saúde. Conclusões: Há associação de fatores demográficos, do grau de dependência para ABVD e das características dos transtornos mentais com a autoavaliação de saúde dessa população. Esses dados mostram a necessidade de maior conhecimento das condições de saúde dos idosos com transtornos mentais, no sentido de implementar medidas que visam minimizar o impacto da doença mental no processo de envelhecimento.

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

Cited by 291 publications

References 34 publications

Prevalence of depressive symptoms and its associated factors among healthy community‐dwelling older adults living in Australia and the United States

Prevalence of depressive symptoms and its associated factors among healthy community‐dwelling older adults living in Australia and the United States

Pharmacological Management of Anxiety Disorders in the Elderly

Associação entre transtornos mentais e autoavaliação de saúde em idosos

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