Sunderland Matthew, Anderson Tracy M, Sachdev Perminder S, Titov Nickolai, Andrews Gavin
NHMRC Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
School of Psychiatry, University of New South Wales, Sydney, Australia Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Sydney, Australia.
Aust N Z J Psychiatry. 2015 Feb;49(2):145-55. doi: 10.1177/0004867414538674. Epub 2014 Jun 13.
To describe lifetime and 12 month prevalence of common DSM-IV mental disorders, their demographic correlates, and association with service utilisation and disability in Australians aged 65-85 years of age.
The sample included Australian residents aged 65-85 years who participated in the 2007 Australian National Survey of Mental Health and Well-being (n=1905). The prevalence of DSM-IV mental disorders was estimated using the lay-interviewer administered World Mental Health version of the Composite International Diagnostic Interview.
Eight percent had experienced an affective disorder, 10% an anxiety disorder, and 12% a substance use disorder at some point in their life. Sex, age, and marital status were significant correlates of any lifetime mental disorder. Approximately, 2%, 4%, and 1% of old age respondents met criteria for mood, anxiety, and substance use disorders in the past 12 months, respectively. The presence of physical disorder, disability, and greater treatment service use were associated with any mental disorder in the past 12 months. Prevalence of lifetime and 12 month disorders by age band revealed a decrease as age increased.
A substantial number of community dwelling old age Australians have experienced a mental disorder in their lifetime. Demographic correlates of mental disorder were relatively consistent between lifetime and 12 month prevalence of disorders, although sex made less of an impact and the presence of physical disorders more of an impact in recent disorders. Twelve month prevalence data suggest that a high proportion of old age Australians still experience mental disorders, predominantly anxiety and major depression.
描述65 - 85岁澳大利亚人常见的《精神疾病诊断与统计手册》第四版（DSM-IV）精神障碍的终生患病率和12个月患病率、其人口统计学相关因素，以及与服务利用和残疾的关联。
样本包括参与2007年澳大利亚全国心理健康与幸福调查的65 - 85岁澳大利亚居民（n = 1905）。使用由非专业访谈员实施的世界心理健康综合国际诊断访谈版本来估计DSM-IV精神障碍的患病率。
8%的人在其生命中的某个时刻经历过情感障碍，10%经历过焦虑障碍，12%经历过物质使用障碍。性别、年龄和婚姻状况是任何终生精神障碍的显著相关因素。在过去12个月中，分别约有2%、4%和1%的老年受访者符合情绪、焦虑和物质使用障碍的标准。身体疾病、残疾的存在以及更多地使用治疗服务与过去12个月中的任何精神障碍相关。按年龄组划分的终生患病率和12个月患病率显示，随着年龄增长患病率下降。
相当数量居住在社区的老年澳大利亚人在其一生中经历过精神障碍。精神障碍的人口统计学相关因素在终生患病率和12个月患病率之间相对一致，尽管在近期障碍中性别影响较小，而身体疾病的影响较大。12个月患病率数据表明，很大比例的老年澳大利亚人仍患有精神障碍，主要是焦虑和重度抑郁症。
