The epidemiology of common late-life mental disorders in the community: Themes for the new century
The epidemiology of common late-life mental disorders in the community: Themes for the new century
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DOI：
10.1176/ps.50.9.1158
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发表时间：
1999-09-01
影响因子：
3.8
通讯作者：
Lebowitz, BD
中科院分区：
文献类型：
--
作者：
Gallo, JJ;Lebowitz, BD
目的：主要的精神障碍的晚年生活是常见的社区和初级卫生保健的患病率和发病率进行审查。方法：社区为基础的研究，包括老年人的英语通过MEDLINE检索确定，并进行审查。结果如下：随着人口老龄化，老年人的痴呆症，抑郁症和其他精神疾病将需要临床医生和研究人员更多的关注，以尽量减少其对残疾，医疗保健服务的使用以及老年人和照顾者的生活质量的影响。高达15%至20%的老年人有明显的抑郁症状，据估计，多达45%的85岁及以上的人有明显的认知障碍和痴呆症，其他心理健康相关的疾病，如焦虑症，酗酒和处方药滥用，也是重要的考虑因素，但没有像抑郁症和痴呆症那样进行网络研究。由于越来越多的老年人是少数群体成员，临床医生需要提高对文化因素如何与晚年精神障碍风险相关的认识。结论：关注三个主题可以帮助临床医生和研究人员应对治疗晚年常见精神障碍的挑战：这些障碍对功能的影响，预防精神障碍的后果，以及精神卫生保健和初级卫生保健服务的整合。
Objective: The prevalence and incidence of the major mental disorders of late life that are common in the community and in primary health care are reviewed. Methods: Community-based studies in English that included older adults were identified through MEDLINE searches and were reviewed. Results: As the population ages, dementia, depression, and other mental conditions of the aged will demand more attention from clinicians and investigators to minimize their effects on disability, the use of health care services, and the quality of life for older adults and caregivers. Up to 15 to 20 percent of older adults have significant depressive symptoms, and it is estimated that as many as 45 percent of persons age 85 years and older have significant cognitive impairment and dementia, Other mental-health-related conditions, such as anxiety disorders, alcohol abuse, and prescription medicine misuse, are also important considerations but have not been as web studied as depression and dementia. Because an increasing proportion of older adults are members of minority groups, clinicians need to increase their awareness of how cultural factors relate to risk for mental disorders in late life. Conclusions: Attention to three themes may help clinicians and investigators meet the challenge of treating the common mental disorders of later life: the effect of these disorders on functioning, prevention of the consequences of mental disorders, and integration of mental health care and primary health care services.