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Titolo:
Ranges of psychiatric morbidity in the old and the very old - results fromthe Berlin Aging Study (BASE)
Autore:
Wernicke, TF; Linden, M; Gilberg, R; Helmchen, H;
Indirizzi:
Free Univ Berlin, Dept Psychiat, D-14050 Berlin, Germany Free Univ BerlinBerlin Germany D-14050 sychiat, D-14050 Berlin, Germany Max Planck Inst Human Dev & Educ, D-1000 Berlin, Germany Max Planck Inst Human Dev & Educ Berlin Germany D-1000 0 Berlin, Germany
Titolo Testata:
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE
fascicolo: 3, volume: 250, anno: 2000,
pagine: 111 - 119
SICI:
0940-1334(200006)250:3<111:ROPMIT>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
STRUCTURED CLINICAL INTERVIEW; MENTAL STATE SCHEDULE; DIAGNOSTIC-CRITERIA; DEPRESSIVE SYMPTOMS; UNITED-STATES; INCREASED MORTALITY; ELDERLY POPULATION; GLOBAL ASSESSMENT; MAJOR DEPRESSION; PREVALENCE RATES;
Keywords:
psychiatric morbidity; elderly; epidemiology; prevalence; caseness; dementia; depression; insomnia; anxiety; severity; subthreshold morbidity; gender;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
63
Recensione:
Indirizzi per estratti:
Indirizzo: Wernicke, TF Free Univ Berlin, Dept Psychiat, Eschenallee 3, D-14050 Berlin, Germany Free Univ Berlin Eschenallee 3 Berlin Germany D-14050 ermany
Citazione:
T.F. Wernicke et al., "Ranges of psychiatric morbidity in the old and the very old - results fromthe Berlin Aging Study (BASE)", EUR ARCH PS, 250(3), 2000, pp. 111-119

Abstract

The purpose of this study was to determine prevalence rates of psychiatricmorbidity in the elderly, distinguishing different levels of psychiatric caseness as compared to the diagnoses of the DSM-III-R. In a cross-sectionalpopulation-based study in Berlin (West), Germany, 516 people aged 70 to 95 were randomly selected from the obligatory city registry (1990-1993) and stratified by age and gender (N = 43 men and N = 43 women in each of six 5-year age groups). Psychiatric and physical examinations were carried out inan extensive standardized assessment. Distinct psychopathological syndromes occurred in 72.7% of the elderly (54.6% of the men, 79.1% of the women). A clinically defined psychiatric disorder was found in 49.4% Of the elderly(95% confidence interval 43.9% - 54.9%; 36.4% of the men, 54.0% of the women). Excluding insomnia, the overall psychiatric morbidity was 40.4% (30.9%m, 43.8% w). Excluding clinical diagnoses that were not otherwise specified in the DSM-III-R, the overall prevalence of specified DSM-III-R diagnoseswas 23.5% (16.3% m, 26.0% w). Excluding dementia, which is known to be age-related, the prevalence was 11.3% (8.5% m, 12.2% w) and no significant effect between the age groups was seen. A considerable proportion of clinically relevant psychiatric morbidity in the elderly does not meet the criteria of specified DSM-III-R diagnoses, although these cases are in need of care. The data show that the threshold and severity of caseness accounts for important differences when overall psychiatric morbidity is assessed.

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Documento generato il 14/07/20 alle ore 05:10:56