老年人精神障碍的患病率：欧洲 MentDis_ICF65+ 研究。
Prevalence of mental disorders in elderly people: the European MentDis_ICF65+ study.
机构信息
Sylke 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
Sylke 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.
出版信息
Br J Psychiatry. 2017 Feb;210(2):125-131. doi: 10.1192/bjp.bp.115.180463. Epub 2016 Sep 8.
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.
背景
除痴呆症和抑郁症外，老年人常见精神障碍知之甚少。
目的
使用经过标准化诊断访谈，根据认知需求评估老年人，来评估不同欧洲国家及其关联国家当前、12 个月和终生精神障碍的患病率。
方法
MentDis_ICF65+研究是基于分层、随机抽样的 3142 名年龄在 65-84 岁之间的男性和女性（居住在参与国选定的集水区社区）。
结果
二分之一的个体在一生中经历过精神障碍，三分之一的个体在过去一年中经历过，近四分之一的个体目前患有精神障碍。最常见的疾病是焦虑症，其次是情感和物质相关障碍。
结论
与之前的研究相比，我们发现大多数精神障碍的患病率都显著更高。这些发现强调了需要改进针对老年人认知能力的诊断评估。需要提高对老年人心理社会问题的认识，并为这些人提供高质量的精神卫生服务。
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