Read e-book online Mental Health in the Elderly: A Review of the Present State PDF

By H. Häfner, G. Moschel, N. Sartorius

H. Hafner, G. Moschel, N. Sartorius the scale of the world's inhabitants elderly over sixty five used to be envisioned at approximately 250 million in 1980; through the yr 2025 it's anticipated to develop to approximately 760 million (see Hauser, this volume). This sharp raise in lifestyles expectancy at start, in a few nations amounting to just about a hundred% in just 100 years, has resulted from greater meals and better residing stipulations, hygiene and treatment. not just existence expectancy at start, but in addition additional existence expectancy in complicated age has proven a transparent, even though extra reasonable elevate. This elevated existence expectancy, including a simultaneous fall in beginning premiums, has triggered the suggest age of the realm inhabitants and, in particular, the common age of the inhabitants of business countries to climb considerably lately, a improvement for you to succeed in its top just some many years from now. For those demographic purposes by myself, overall healthiness care professionals must commit extra cognizance to the illnesses of the aged. the most activity of clinical learn is to strengthen better tools of affliction prevention and therapy. but, as the complete advantages of such study are just learned after decades of labor, researchers have already began to answer demographic pressures by way of focussing a part of their efforts at the research of health problems attribute of outdated age.

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Extra resources for Mental Health in the Elderly: A Review of the Present State of Research

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Table 4 reveals that mental disorders were in fact diagnosed most frequently among physically impaired old people who lived in poor housing conditions. Mental IUness, Physical Impairment and Socioeconomic Status The frequency of mental illness was found to vary inversely with social class. This association, however, was due entirely to a steep social class gradient among persons with organic mental disorder, who congregated in the lower status groups of the elderly population. (Since allocation to a social class category was based on previous occupation, this finding could not be attributed to an illness-linked loss of status in late life) .

Davies In a survey in Jerusalem (Davies and Fleishman 1981) a complete questionnaire was administered to 77% of an elderly population and partial information could be obtained for a further 20%. There was a decrease with age in the population responding and a deficit particularly in the oldest group of women. Non-respondents tended to be sicker, more limited in their mobility and more likely to have been recently discharged from hospital. In the II-country study (Heikkinen et al. 1983), the response rate ranged from 30% - 40% for the oldest groups in one area to 93 % -100% in others.

The age distribution of psychiatric cases, summarized in Table 2, indicates a sharp increase in prevalence after the age of 80, accounted for entirely by the organic psychosyndromes. The frequency offunctional mental disorders appears actually to decline with increasing age, but this finding can be explained in terms of the hierarchical relationship between the two categories, as analysed in this study. When cases of organic mental illness are removed from the sample, the frequency of functional mental illness among the remainder is constant over all age groups: 14%-15%.

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