Prevalence of mental disorders in elderly people: the European MentDis_ICF65+study
Prevalence of mental disorders in elderly people: the European MentDis_ICF65+study
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DOI：
10.1192/bjp.bp.115.180463
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发表时间：
2017-02-01
影响因子：
10.5
通讯作者：
Haerter, Martin
中科院分区：
文献类型：
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作者：
Andreas, Sylke;Schulz, Holger;Haerter, Martin
背景除了痴呆症和抑郁症外，人们对老年人常见的精神障碍知之甚少。目的是使用适合测量老年人认知需求的标准化诊断访谈来估计不同欧洲及相关国家精神障碍当前、12 个月和终生的患病率。方法 MentDis_ICF65+ 研究基于生活在参与国家选定的社区区域的 3142 名老年男性和女性（65-84 岁）的年龄分层随机样本。结果两个人在一生中经历过精神障碍，三分之一的人在过去一年内患有精神障碍，近四分之一的人目前患有精神障碍。最常见的疾病是焦虑症，其次是情感障碍和物质相关障碍。结论与之前的研究相比，我们发现大多数精神障碍的患病率要高得多。这些发现强调需要改进适合老年人认知能力的诊断评估。有必要提高对老年人心理社会问题的认识，并为这些人提供高质量的心理健康服务。
BackgroundExcept for dementia and depression, little is known about common mental disorders in elderly people.AimsTo 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.MethodThe 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.ResultsOne 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.ConclusionsCompared 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.