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Incidence and risk factors of mental disorders in the elderly: The European MentDis_ICF65+ study.

Authors
  • Andreas, Sylke1, 2, 3
  • Schulz, Holger1
  • Volkert, Jana1, 4
  • Lüdemann, Jonas2
  • Dehoust, Maria1
  • Sehner, Susanne5
  • Suling, Anna5
  • Wegscheider, Karl5
  • Ausín, Berta6
  • Canuto, Alessandra7
  • Crawford, Michael J8
  • Da Ronch, Chiara9
  • Grassi, Luigi9
  • Hershkovitz, Yael10
  • Muñoz, Manuel6
  • Quirk, Alan8
  • Rotenstein, Ora10
  • Belén Santos-Olmo, Ana6
  • Shalev, Arieh10, 11
  • Weber, Kerstin7
  • And 2 more
  • 1 Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. , (Germany)
  • 2 Department of Clinical Psychology, Psychotherapy and Psychoanalysis, Institute for Psychology, Alpen-Adria-Universität Klagenfurt, Klagenfurt am Wörthersee, Austria. , (Austria)
  • 3 Department of Psychology, Witten/Herdecke University, Witten, Germany. , (Germany)
  • 4 Department of Psychosocial Prevention, Heidelberg University, Heidelberg, Germany. , (Germany)
  • 5 Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. , (Germany)
  • 6 School of Psychology, Complutense University of Madrid, Madrid, Spain. , (Spain)
  • 7 Department of Psychiatry, University of Geneva, Geneva, Switzerland. , (Switzerland)
  • 8 College Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
  • 9 Institute of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, Universita degli Studi di Ferrara, Ferrara, Italy. , (Italy)
  • 10 Department of Psychiatry, Hadassah University Medical Center, Jerusalem, Israel. , (Israel)
  • 11 Department of Psychiatry, NY Langone Medical Center, New York, NY, USA.
  • 12 Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany. , (Germany)
  • 13 Department of Psychiatry and Psychotherapy, Ludwig-Maximilians-Universität München, München, Germany. , (Germany)
Type
Published Article
Journal
Australian & New Zealand Journal of Psychiatry
Publisher
SAGE Publications
Publication Date
May 01, 2022
Volume
56
Issue
5
Pages
551–559
Identifiers
DOI: 10.1177/00048674211025711
PMID: 34250828
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

While incidence rates of depression and anxiety disorders in the elderly have been comprehensively investigated, the incidence rates of other mental disorders have rarely been researched. The incidence rate and predictors of various mental disorders in the elderly were evaluated in different European and associated countries. A cross-sectional and longitudinal multi-centre survey of Diagnostic and Statistical Manual of Mental Disorders (4th ed.) diagnoses was conducted in different European and associated countries (Germany, Italy, Spain, Switzerland, the United Kingdom and Israel) to collect data on the prevalence and incidence of mental disorders in the elderly. The sample size of the longitudinal wave was N = 2592 elderly. The overall 1-year incidence rate for any mental disorder in the elderly is 8.65%. At 5.18%, any anxiety disorder had the highest incidence rate across all diagnostic groups. The incidence rate for any affective disorder was 2.97%. The lowest incidence rates were found for agoraphobia (1.37%) and panic disorder (1.30%). Risk factors for the development of any mental disorder were never having been married, no religious affiliation, a higher number of physical illnesses and a lower quality of life. In comparison to other studies, lower incidence rates for any affective disorder and middle-range incidence for any anxiety disorder were found. To the authors' knowledge, no prior studies have reported 1-year incidence rates for somatoform disorder, bipolar disorder and substance misuse in community-dwelling elderly. These findings indicate the need to raise awareness of psychosocial problems in the elderly and to ensure adequate availability of mental health services.

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