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Updated: Jul 2, 2025
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Psychiatric Morbidity Among Older Hospitalized Patients.
Nerminka Aljukic1,2, Mevludin Hasanovic1,2, Izet Pajevic1,2
1Department of Psychiatry, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Materia Socio-Medica
|February 21, 2024
Summary
Psychiatric disorders in older adults in Bosnia and Herzegovina are common, with affective disorders most prevalent. Gender influences diagnosis, with females showing higher rates of affective disorders and males of organic and substance use disorders.
Area of Science:
- Geriatric Psychiatry
- Mental Health Epidemiology
- Public Health
Background:
- Increasing global life expectancy necessitates understanding age-related health trends.
- Bosnia and Herzegovina (BiH) has an average life expectancy of 77 years.
- Limited research exists on mental health in BiH's elderly population, particularly concerning war and post-war impacts.
Purpose of the Study:
- To investigate psychiatric morbidity in hospitalized individuals aged 55 and above in BiH.
- To identify prevalence and patterns of mental disorders in the elderly population.
Main Methods:
- Retrospective analysis of 637 patients aged ≥55 treated at the Department of Psychiatry in Tuzla (2018-2020).
- Data collected from medical records and a custom-designed questionnaire.
- Patients categorized into four age groups.
Main Results:
- Affective disorders were the most prevalent psychiatric morbidity overall.
- Organic mental disorders were more common in older age groups, while substance use disorders were concentrated in the 55-64 age group.
- Females had higher rates of affective, psychotic, neurotic, and stress-related disorders; males showed higher rates of organic mental and substance use disorders.
Conclusions:
- Affective disorders are the leading diagnosis in the elderly population studied.
- Gender significantly impacts the prevalence of specific psychiatric disorders in older adults.
- Findings highlight the need for tailored mental health interventions for the aging population in BiH.
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