Prevalence of mental disorders in the elderly in the community of madridResults of the Mentdis_ICF65+ Study

  1. Berta Ausín 1
  2. Manuel Muñoz 1
  3. Ana Belén Santos-Olmo 1
  4. Eloísa Pérez-Santos 1
  5. Miguel Catellanos 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2017

Volumen: 20

Tipo: Artículo

DOI: 10.1017/SJP.2017.3 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

The MentDis_ICF65+ Project is an epidemiological study of mental disorders in people 65 to 85 years old in several European cities, including Madrid. Its aim is to determine the lifetime, 12-month, and 1-month prevalence of the main mental disorders in the elderly. The relationship of age and sex with each mental disorder was examined. The sample was collected through random sampling of people over 65 in Madrid, and consisted of 555 persons between 65 and 85 years old. The CIDI65+ was administered. Estimates of prevalence and odds ratios (OR) were made using sample frequencies and according to sex and age. Excluding nicotine dependence, 40.12% of the sample was found to have suffered a mental disorder at some time in their lives, 29.89% in the past year, and 17.70% were currently suffering from a mental disorder. The disorders with the highest prevalence rates were anxiety disorders, alcohol-related disorders, and mood disorders. Elderly women had a higher risk of suffering an anxiety disorder (OR men/women 0.42; CI 0.25–0.68) with a significance level of p < .001, while elderly men were more affected by any substance-related disorder (OR men/women 3.96; CI 1.62–11.07) with a significance level of p < .001. Each disorder’s prevalence decreased with age (OR 65–74/75–85, 1.85; CI 1.25–2.75) with a significance level of p < .01. Results show higher prevalence rates than previous studies reported. The main implications of this study, and the need to adapt mental health services for people over 65, are highlighted.

Referencias bibliográficas

  • Achterberg W., Pot A. M., Kerkstra A., & Ribbe M. (2006). Depressive symptoms in newly admitted nursing home residents. International Journal of Geriatric Psychiatry, 21, 1156–1162. https://doi.org/10.1002/gps.1623
  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th Ed., Text Rev.). Washington DC: Author.
  • Andreas S., Härter M., Volkert J., Hausberg M., Sehner S., Wegscheider K., ... Schulz H. (2013). The MentDis_ICF65+ study protocol: Prevalence, 1-year incidence and symptom severity of mental disorders in the elderly and their relationship to functioning (ICF) and service utilisation. BMC Psychiatry, 13, 62. https://doi.org/10.1186/1471-244X-13-62
  • Andreas S., Schulz H., Volkert J., Dehoust M., Sehner S., Suling A., ... Härter M. (2016). Prevalence of mental disorders in elderly people: The European MentDis_ ICF65+ Study. The British Journal of Psychiatry. Advance online publication. https://doi.org/10.1192/bjp. bp.115.180463
  • Aragon T. J., Fay M. P., & Wollschlaeger D. (2012). Epitools: Epidemiology tools. R package version 0.5–7. Berkeley, CA: University of California. Retrieved from http://CRAN. R-project.org/package=epitools
  • Blanco C., Grant J., Petry N. M., Simpson H. B., Alegria A., Liu S. M., & Hasin D. (2008). Prevalence and correlates of shoplifting in the United States: Results from the national epidemiologic survey on alcohol and related conditions (NESARC). American Journal of Psychiatry, 165, 905–913. https://doi.org/10.1176/appi.ajp.2008. 07101660
  • Blazer D. G., & Wu L.-T. (2009). The epidemiology of at-risk and binge drinking among middle-aged and elderly community adults: National survey on drug use and health. The American Journal of Psychiatry, 166, 1162–1169. https:// doi.org/10.1176/appi.ajp.2009.09010016
  • Brodaty H., Luscombe G., Parker G., Wilhelm K., Hickie I., Austin M. P., & Mitchell P. (1997). Increased rate of psychosis and psychomotor change in depression with age. Psychological Medicine, 27, 1205–1213. https://doi. org/10.1017/S0033291797005436
  • Brodaty H., Peters K., Boyce P., Hickie I., Parker G., Mitchell P., & Wilhelm K. (1991). Age and depression. Journal of Affective Disorders, 23, 137–149. https://doi. org/10.1016/0165-0327(91)90026-O
  • Busch M. A., Maske U. E., Ryll L., Schlack R., & Hapke U. (2013). Prevalence of depressive symptoms and diagnosed depression among adults in Germany: Results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 56, 733–739. https://doi.org/10.1007/s00103-013-1688-3
  • Buys L., Roberto K. A., Miller E., & Blieszner R. (2008). Prevalence and predictors of depressive symptoms among rural older Australians and Americans. The Australian Journal of Rural Health, 16, 33–39. https:// doi.org/10.1111/j.1440-1584.2007.00948.x
  • Byers A. L., Yaffe K., Covinsky K. E., Friedman M. B., & Bruce M. L. (2010). High occurrence of mood and anxiety disorders among older adults: The national comorbidity survey replication. Archives of General Psychiatry, 67, 489–496. https://doi.org/10.1001/archgenpsychiatry. 2010.35
  • Castro-Costa E., Dewey M., Stewart R., Banerjee S., Huppert F., Mendonca-Lima C., … Prince M. (2007). Prevalence of depressive symptoms and syndromes in later life in ten European countries: The SHARE study. British Journal of Psychiatry, 191, 393–401. https://doi. org/10.1192/bjp.bp.107.036772
  • Djernes J. K. (2006). Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica, 113, 372–387. https://doi. org/10.1111/j.1600-0447.2006.00770.x
  • Eurostat (2014). European Health Interview Survey (EHIS). Luxembourg, Luxembourg: European Union.
  • Folstein M. F., Folstein S. E., & McHugh P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. https://doi.org/ 10.1016/0022-3956(75)90026-6
  • Glaesmer H., Riedel-Heller S., Braehler E., Spangenberg L., & Luppa M. (2011). Age and gender-specific prevalence and risk factors for depressive symptoms in the elderly: A population-based study. International Psychogeriatrics, 23, 1294–1300. https://doi.org/10.1017/S1041610211000780
  • Gostynski M., Ajdacic-Gross V., Gutzwiller F., Michel J.-P., & Herrmann F. (2002). Depression bei Betagten in der Schweiz [Depression among the elderly in Switzerland]. Nervenarzt, 73, 851–860. https://doi.org/10.1007/ s00115-002-1369-1
  • Gum A. M., King-Kallimanis B., & Kohn R. (2009). Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the national comorbidity survey-replication. American Journal of Geriatric Psychiatry, 17, 769–781. https://doi.org/10.1097/JGP. 0b013e3181ad4f5a
  • Hanson B. S. (1994). Social network, social support and heavy drinking in elderly men: A population study of men born in 1914, Malmö, Sweden. Addiction, 89, 725–732. https://doi.org/10.1111/j.1360-0443.1994.tb00958.x
  • Hasin D. S., Stinson F. S., Ogburn E., & Grant B. F. (2007). Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States. Archives of General Psychiatry, 64, 830–842. https:// doi.org/10.1001/archpsyc.64.7.830
  • Health and Social Care Information Centre (2014). Statistics on alcohol – England. London, UK: HSCIC.
  • Helmchen H., Linden M., & Wernicke T. (1996). Psychiatrische Morbidität bei Hochbetagten [Psychiatric morbidity in the elderly]. Nervenarzt, 67, 739–750.
  • Institute of Alcohol Studies (2005). IAS fact sheet: Alcohol consumption and harm in the UK and EU. St Ives, Cambridgeshire, UK: Author.
  • Instituto Nacional de Estadística (2011). Censo de poblaciones y viviendas [Census of population and housing]. Catalogue number 30243. Madrid, Spain: Author. Retrieved from http://www.ine.es/censos2011_datos/ cen11_datos_inicio.htm
  • Jeste D. V., Blazer D. G., & First M. (2005). Aging-related diagnostic variations: Need for diagnostic criteria appropriate for elderly psychiatric patients. Biological Psychiatry, 58, 265–271. https://doi.org/10.1016/ j.biopsych.2005.02.004
  • Kessler R. C., Berglund P., Demler O., Jin R., Merikangas K. R., & Walters E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–602. https://doi.org/ 10.1001/archpsyc.62.6.593
  • Kessler R. C., Birnbaum H., Bromet E., Hwang I., Sampson N., & Shahly V. (2010). Age differences in major depression: Results from the National Comorbidity Survey Replication (NCS-R). Psychological Medicine, 40, 225–237. https://doi.org/10.1017/S0033291709990213
  • Kessler R. C., & Üstün T. B. (2008). The WHO World Mental Health Surveys: Global perspectives on the epidemiology of mental disorders. New York, NY: Cambridge University Press.
  • Knäuper B., & Wittchen H. U. (1994). Diagnosing major depression in the elderly: Evidence for response bias in standardized diagnostic interviews? Journal of Psychiatric Research, 28, 147–164. https://doi.org/10.1016/00223956(94)90026-4
  • Lenze E. J., & Loebach-Wetherell J. (2011). A lifespan view of anxiety disorders. Dialogues in Clinical Neuroscience, 13, 381–399.
  • Leroi I., Voulgari A., Breitner J. C. S., & Lyketsos C. G. (2003). The epidemiology of psychosis in dementia. The American Journal of Geriatric Psychiatry, 11, 83–91. https:// doi.org/10.1097/00019442-200301000-00011
  • Lobo A., Saz P., Marcos G., & Grupo de Trabajo ZARADEMP (2002). MMSE: Examen cognoscitivo mini-mental [Minimental state examination]. Madrid, Spain: TEA Ediciones.
  • Lyketsos C. G., Steinberg M., Breitner J. C. S., Tschanz J. T., Norton M. C., & Steffens D. C. (2000). Mental and behavioral disturbances in dementia: Findings from the cache county study on memory in aging. Neurobiology of Aging, 21, 244. https://doi.org/10.1016/S01974580(00)83436-3
  • Mamplekou E., Bountziouka V., Psaltopoulou T., Zeimbekis A., Tsakoundakis N., Papaerakleous N., … Panagiotakos D. (2010). Urban environment, physical inactivity and unhealthy dietary habits correlate to depression among elderly living in eastern Mediterranean islands: The MEDIS (MEDiterranean ISlands Elderly) study. Journal of Nutrition, Health and Aging, 14, 449–455. https://doi.org/10.1007/s12603-010-0091-0
  • Mohlman J., Bryant C., Lenze E. J., Stanley M. A., Gum A., Flint A., … Craske M. G. (2012). Improving recognition of late life anxiety disorders in diagnostic and statistical manual of mental disorders, fifth edition: Observations and recommendations of the Advisory Committee to the Lifespan Disorders Work Group. International Journal of Geriatric Psychiatry, 27, 549–556. https://doi.org/10.1002/ gps.2752
  • Mojtabai R., & Olfson M. (2004). Major depression in community-dwelling middle-aged and older adults: Prevalence and 2and 4-year follow-up symptoms. Psychological Medicine, 34, 623–634. https://doi.org/ 10.1017/S0033291703001764
  • Pirkola S. P., Isometsä E., Suvisaari J., Aro H., Joukamaa M., Poikolainen K., ... Lönnqvist J. K. (2005). DSM-IV mood-, anxietyand alcohol use disorders and their comorbidity in the finnish general population – results from the Health 2000 Study. Social Psychiatry and Psychiatric Epidemiology, 40, 1–10.
  • R Core Team (2014). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.
  • Ritchie K., Artero S., Beluche I., Ancelin M.-L., Mann A., Dupuy A.-M., … Boulenger J.-P. (2004). Prevalence of DSM-IV psychiatric disorder in the French elderly population. British Journal of Psychiatry, 184, 147–152. https://doi.org/10.1192/bjp.184.2.147
  • Saunders P. A., Copeland J. R. M., Dewey M. E., Gilmore C., Larkin B. A., Phaterpekar H., & Scott A. (1993). The prevalence of dementia, depression and neurosis in later life: The Liverpool MRC-ALPHA study. International Journal of Epidemiology, 22, 838–847. https://doi.org/10.1093/ije/22.5.838
  • Teper E., & Thomas A. (2006). Is depression different in older adults? Aging Health, 2, 905–915. https://doi. org/10.2217/1745509X.2.6.905
  • The ESEMeD/MHEDEA Investigators, Alonso J., Angermeyer M. C., Bernert S., Bruffaerts R., Brugha T. S., … Vollebergh W. A. M. (2004a). Sampling and methods of the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 109, 8–20. https://doi.org/10.1111/j.1600-0047.2004.00326
  • The ESEMeD/MHEDEA Investigators, Alonso J., Angermeyer M. C., Bernert S., Bruffaerts R., Brugha T. S., … Vollebergh W. A. M. (2004b). Prevalence of mental disorders in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 109, 21–27. https://doi.org/10.1111/j.1600-0047.2004.00327.x
  • Volkert J., Schulz H., Härter M., Wlodarczyk O., & Andreas S. (2013). The prevalence of mental disorders in older people in Western countries – a meta-analysis. Ageing Research Reviews, 12, 339–353. https://doi.org/10.1016/ j.arr.2012.09.004
  • Wittchen H. U., & Jacobi F. (2005). Size and burden of mental disorders in Europe-a critical review and appraisal of 27 studies. European Neuropsychopharmacology, 15, 357–376. https://doi.org/10.1016/j.euroneuro.2005.04.012
  • Wittchen H. U., Strehle J., Gerschler A., Volkert J., Dehoust M. C., Sehner S., … Andreas S. (2015). Measuring symptoms and diagnosing mental disorders in the elderly community: The test-retest reliability of the CIDI65+. International Journal of Methods in Psychiatric Research, 24, 116–129. https://doi.org/10.1002/mpr.1455
  • Wittchen H. U. (1992). Composite international diagnostic interview (CIDI) User manual. Geneva, Suiza: WHO.
  • Wolitzky-Taylor K. B., Castriotta N., Lenze E. J., Stanley M. A., & Craske M. G. (2010). Anxiety disorders in older adults: A comprehensive review. Depression and Anxiety, 27, 190–211. https://doi.org/10.1002/da.20653
  • World Health Organization (2004a). Global status report on alcohol. Geneva, Suiza: World Health Organization Department of Mental Health and Substance Abuse.
  • World Health Organization (2004b). Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization world mental health surveys. JAMA, 291, 2581–2590. https://doi.org/10.1001/jama. 291.21.2581
Fuente de los datos: Dialnet