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阿拉伯联合酋长国老年人群中的精神障碍概况:社会人口学相关因素

Profile of mental disorders among the elderly United Arab Emirates population: sociodemographic correlates.

作者信息

Ghubash Rafia, El-Rufaie Omer, Zoubeidi Taoufik, Al-Shboul Qasim M, Sabri Sufyan M

机构信息

Department of Psychiatry, Faculty of Medicine and Health Sciences, UAE University, Al-Ain, UAE.

出版信息

Int J Geriatr Psychiatry. 2004 Apr;19(4):344-51. doi: 10.1002/gps.1101.

Abstract

OBJECTIVES

To investigate the prevalence, nature and sociodemographic correlates of mental disorders among the elderly United Arab Emirates (UAE) population. STUDY SUBJECTS AND SAMPLE: UAE nationals aged 60 years or more, were recruited from within a random sample of households representing the UAE national population, irrespective of the age of individuals in each household. RESEARCH INSTRUMENTS: (i) Geriatric Mental State Interview (GMS-A3): an Arabic version, using the AGECAT for analysis; (ii) A short questionnaire for relevant sociodemographic data.

PROCEDURE

Purposely trained, Arabic speaking interviewers visited the targeted sample households to interview study subjects at their homes.

RESULTS

The total number of screened subjects was 610: 166 (27.2%) in Al-Ain; 286 (46.9%) in Dubai and 158 (25.9%) in Ras Al-Khaimah. There were 347 (56.9%) male subjects and 263 (43.1%) female subjects. The mean age of the interviewed subjects was 68.6 (SD 8.3). The commonest diagnostic entities at the AGECAT syndrome case level were depression (20.2%), anxiety (5.6%), hypochondriasis (4.4%) and organic, mostly cognitive impairment with or without dementia (3.6%). Organic syndrome caseness, as an independent entity, showed significant correlation only to older age, while the rest of the mental disorders showed significant correlation with female gender, insufficient income and being single, separated, divorced or widowed.

CONCLUSION

The GMS-AGECAT package proved to be a useful tool for psychiatric assessment among the elderly in this Arabian culture. The prevalence rates of mental disorders among the elderly UAE population were, more or less, within the same range reported by other comparable worldwide studies.

摘要

目的

调查阿拉伯联合酋长国(阿联酋)老年人群体中精神障碍的患病率、性质及社会人口学相关因素。

研究对象与样本

从代表阿联酋全国人口的随机抽样家庭中招募60岁及以上的阿联酋国民,每个家庭中个体的年龄不限。

研究工具

(i)老年精神状态访谈(GMS - A3):阿拉伯语版本,使用AGECAT进行分析;(ii)一份用于获取相关社会人口学数据的简短问卷。

程序

经过专门培训的阿拉伯语访谈员走访目标样本家庭,在其家中对研究对象进行访谈。

结果

筛查的对象总数为610人:艾因有166人(27.2%);迪拜有286人(46.9%);哈伊马角有158人(25.9%)。男性受试者有347人(56.9%),女性受试者有263人(43.1%)。受访对象的平均年龄为68.6岁(标准差8.3)。在AGECAT综合征病例水平上,最常见的诊断类别为抑郁症(20.2%)、焦虑症(5.6%)、疑病症(4.4%)以及器质性疾病,主要是伴有或不伴有痴呆的认知障碍(3.6%)。作为一个独立类别的器质性综合征病例仅与年龄较大显著相关,而其余精神障碍与女性性别、收入不足以及单身、分居、离婚或丧偶显著相关。

结论

GMS - AGECAT组合被证明是在这种阿拉伯文化背景下对老年人进行精神科评估的有用工具。阿联酋老年人群体中精神障碍的患病率与全球其他类似研究报告的范围大致相同。

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