The Galicia study of mental health of the Elderly I: general description of methodology

Mateos, Raimundo; González, Félix; Páramo, Mario; García, María C.; Carollo, M.C.; Rodriguez-López, A.

doi:10.1002/mpr.90

Cited by 5 publications

(8 citation statements)

References 12 publications

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“…functional illiteracy (Table 3). It is a well known fact, that the Spanish civil war and the subsequent dramatic economical difficulties suffered by the population compelled many children, especially in validation of the ace in spanishrural areas, to abandon school and become part of the labour force, a fact that accounts for this low-educational profile (Mateos et al, 2000;Blesa et al, 2001;García de Yébenes et al, 2003). In clinical practice our proposal in this population is to use the more stringent cut-off score of 68/100, (sensitivity 95%) even though the results of the lower cut-off point ( 65/100) are very similar (sensibility 90%, specificity 83%).…”

Section: Discussionmentioning

confidence: 99%

Validation of the Spanish version of the Addenbrooke's Cognitive Examination in a rural community in Spain

García-Caballero

García-Lado

González-Hermida

et al. 2006

Int J Geriat Psychiatry

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ROC curves demonstrated the superiority of the ACE in the sub sample of patients that finished school at over 14 years old. VLOM ratio confirmed its usefulness for differential diagnosis between AD and FTD CONCLUSIONS: The Spanish version of the ACE is a useful instrument for dementia diagnosis. In our sample VLOM ratio results were useful for differential diagnosis between AD and FTD. Different cut-off points must be used for different educational levels.

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Section: Discussionmentioning

confidence: 99%

Validation of the Spanish version of the Addenbrooke's Cognitive Examination in a rural community in Spain

García-Caballero

García-Lado

González-Hermida

et al. 2006

Int J Geriat Psychiatry

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“…The (imperfect) bilingualism of Galician society constitutes an added difficulty (Mateos et al, 2000), as has been found in other Hispanic countries (Marcos and Trujillo, 1981, cited in Karno et al, 1985). All these difficulties are increased by the fact that, until a few years ago, Galician, the mother tongue of the majority of the older population, was considered an uncultured and socially marginalized language.…”

Section: Difficulties In Translating the Dis Into Galician With Specmentioning

confidence: 95%

“…• both Galician and Spanish are spoken in Galicia, but the elderly often use the former as a result of their inferior educational level and because a majority of them live in a rural environment in which Galician predominates (Mateos et al, 2000); • in the case of the interviewee not understanding the meaning of a specific term in Galician, it was be easier for the interviewer to explain its meaning in Spanish.…”

Section: Difficulties In Translating the Dis Into Galician With Specmentioning

confidence: 98%

“…This paper continues our reflection on the methodology used in the Galicia Community Study of Mental Health of the Elderly. Elsewhere (Mateos et al, 2000) we describe the sociocultural characteristics that are peculiar to Galicia, the methodology used in the fieldwork and the estimate of prevalence rates. Here we need only remember that the main objective was to study the range of psychiatric pathology in the aged segment of the population, covering all the social levels of the natural community of Galicia in southwestern Europe, with a population of 2.7 million.…”

Section: Introductionmentioning

confidence: 99%

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The Galicia study of mental health of the Elderly II: the use of the Galician DIS

Mateos

Droux

Páramo³

et al. 2000

Int J Methods Psych Res

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Reports of epidemiological surveys do not always provide adequate careful descriptions of the methodology used and the sociocultural context involved. Galicia, a natural region in south-west Europe, possesses certain characteristics that differ from those in other communities within the Spanish state. Galician is a Romance language, which is, in fact, closer to Portuguese than it is to Spanish. The population (2.7 million inhabitants) is widely dispersed, with two-thirds of them living in the countryside. More than 18% are older than 65, and the educational level of this elderly population is low. A total of 681 persons over 60 years of age were interviewed in their homes using the DIS-III as the main diagnostic instrument during the second phase of the Galicia Study of Mental Health of the Elderly. This paper analyses some methodological implications of this epidemiological study, focusing on the translation of the DIS into Galician and its performance and acceptability in thiscommunity. The possible cultural bias that can affect the rates of prevalence in some specific disorders, the limitations of lifetime prevalence and the advantages of using six-month prevalence rates is discussed. Besides some interesting anecdotes, which are described in the article, the main result is the very high acceptance of DIS-III in this elderly population.

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“…Spain is one of the biggest countries in the south of Europe, but there is still very little information about the epidemiology of mental disorders in this country. Few community studies have been conducted in Spain to date and they report prevalence estimates ranging up to 20% for lifetime prevalence of depression (Ayuso-Mateos et al, 2001; Fernandez Fernandez et al, 2006; Haro et al, 2006b; Mateos et al, 2000; Roca-Bennasar et al, 2001; Urbina Torrija et al, 2007; Vazquez et al, 1997; Vázquez and Blanco, 2008). However these studies are mostly based on regional samples or specific subpopulations, which limits the possibility of generalizing results to the entire country.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of major depressive episode in a southern European country: Results from the ESEMeD-Spain project

Gabilondo

Rojas-Farreras

Vilagut

et al. 2010

Journal of Affective Disorders

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Background Information of the epidemiology of Major Depressive Episode (MDE) in Spain, one of the biggest southern European countries, is scarce and heterogeneous. The objective of this study was to assess the epidemiology of the disorder in the Spanish sample of the ESEMeD project. Methods The ESEMED-Spain project is a cross-sectional, general population, household survey conducted with a representative sample of Spanish non-institutionalized adult population. The survey instrument was the CIDI 3.0, a structured diagnostic interview to assess disorders and treatment. Results Lifetime prevalence was 10.6% while 12-month prevalence was 4.0%. A monotonic increase in lifetime overall prevalence was found from the youngest to the 50–64 cohort, declining then in the oldest group. Median age of onset was 30.0. Being a woman (OR= 2.7), previously married (OR= 1.8), unemployed or disabled to work (OR= 2.9) was associated to higher risk of 12-month-MDE. The highest comorbid associations were with dysthymia (OR= 73.1) and panic disorder (OR= 41.8). Limitations 1. Psychiatric diagnoses were made by trained lay interviewers and this could have an imperfect sensitivity/specificity; 2. Individuals with mental illness could have more frequently rejected to participate in the survey; 3. Age-related recall bias could have affected the accuracy of age of onset estimates. Conclusions The study shows that prevalence MDE in Spain is lower than in other Western countries. Important findings are the early age of onset, the high proportion of chronicity, and the high female/male ratio. Taken together, results offer a complex picture of the epidemiology of MDE in Spain, when compared to other countries in Europe. The role of cultural factors is discussed.

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The Galicia study of mental health of the Elderly I: general description of methodology

Cited by 5 publications

References 12 publications

Validation of the Spanish version of the Addenbrooke's Cognitive Examination in a rural community in Spain

Validation of the Spanish version of the Addenbrooke's Cognitive Examination in a rural community in Spain

The Galicia study of mental health of the Elderly II: the use of the Galician DIS

Epidemiology of major depressive episode in a southern European country: Results from the ESEMeD-Spain project

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