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Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study
Sylke Andreas1, Holger Schulz2, Jana Volkert2
1Sylke Andreas, PhD, Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany and Institute of Psychology, Alpen-Adria Universität Klagenfurt, Klagenfurt, Austria; Holger Schulz, PhD, Jana Volkert, PhD, Maria Dehoust, PhD, Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Susanne Sehner, MSc, Anna Suling, PhD, Department of Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Berta Ausín, PhD, School of Psychology, University Complutense of Madrid, Madrid, Spain; Alessandra Canuto, PhD, Division of Liaison Psychiatry and Crisis Intervention, Department of Psychiatry and Mental Health, University Hospitals of Geneva (HUG), Geneva, Switzerland; Mike Crawford, MD, Royal College of Psychiatrists, London, UK; Chiara Da Ronch, PhD, Luigi Grassi, MD, Section of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy; Yael Hershkovitz, MSc, Department of Psychiatry, Hadassah University Medical Center, Kiryat Hadassah, Jerusalem, Israel; Manuel Muñoz, PhD, School of Psychology, University Complutense of Madrid, Madrid, Spain; Alan Quirk, PhD, Royal College of Psychiatrists, London, UK; Ora Rotenstein, PhD, Department of Psychiatry, Hadassah University Medical Center, Kiryat Hadassah, Jerusalem, Israel; Ana Belén Santos-Olmo, MSc, School of Psychology, University Complutense of Madrid, Madrid, Spain; Arieh Shalev, MD, Department of Psychiatry, Hadassah University Medical Center, Kiryat Hadassah, Jerusalem, Israel; Jens Strehle, MSc, Institute of Clinical Psychology and Psychotherapy, Center of Clinical Epidemiology and Longitudinal Studies, Dresden, Germany; Kerstin Weber, PhD, Division of Liaison Psychiatry and Crisis Intervention, Department of Psychiatry and Mental Health, University Hospitals of Geneva (HUG), Geneva, Switzerland; Karl Wegscheider, PhD, Department of Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Hans-Ulrich Wittchen, PhD, Institute of Clinical Psychology and Psychotherapy, Center of Clinical Epidemiology and Longitudinal Studies, Dresden, Germany; Martin Härter, PhD, Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany sandreas@uke.de.
Background:
Except for dementia and depression, little is known about common mental disorders in elderly people.
Aims:
To 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.
Method:
The 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.
Results:
One 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.
Conclusions:
Compared 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.
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