Prevalence of dementia and depression among elderly people in Black and ethnic minorities

McCracken, Cherie; Boneham, Margaret; Copeland, J. R. M.; Williams, Katherine E.; Wilson, Ken; Scott, Anne; McKibbin, P.E.; Cleave, Nancy Van

doi:10.1192/bjp.171.3.269

Cited by 108 publications

(86 citation statements)

References 11 publications

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“…Diversas investigações epidemiológicas demonstraram que a depressão é o distúrbio da saúde mental mais freqüente na terceira idade 12,13,7,14 , além de ser um dos que mais gastos econômicos gera com a saúde. 15 O atendimento emergencial de idosos deve, também, considerar que a depressão está associada à maior morbidade e mortalidade nessa faixa etária, particularmente quando doença física ou declínio cognitivo estão presentes.…”

Section: Método E Análise Dos Dadosunclassified

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Almeida

1999

Rev. Bras. Psiquiatr.

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O envelhecimento populacional vem provocando um aumento contínuo no número de idosos que buscam atendimento para problemas de saúde mental. Este trabalho teve como objetivo investigar os transtornos mentais que mais freqüentemente levam o idoso a um serviço de emergência psiquiátrica. Todos os idosos atendidos entre 1o de janeiro e 31 de dezembro de 1997 no pronto-socorro de saúde mental da Santa Casa de São Paulo foram incluídos no estudo. Os diagnósticos psiquiátricos seguiram as diretrizes da CID-10. Um total de 5.434 atendimentos foram feitos durante esse período, sendo que 398 (7,3%) desses indivíduos tinham 60 ou mais anos de idade. A idade média dos idosos que procuraram o Pronto Socorro era de 68,66 (CI=67,88 a 69,43 - extremos 60 e 96 anos), e houve um excesso relativo de mulheres entre os idosos (67,3% vs 51,2%, p<0,001). Transtorno do humor foi o diagnóstico sindrômico mais comum entre os idosos (40,0%), sendo 2,24 vezes mais freqüente entre mulheres (CIodds=1,42 a 3,54). Na maior parte desses casos (78,2%) a presença de um episódio depressivo maior foi a causa da consulta. Quatorze porcento dos idosos atendidos apresentavam uma síndrome demencial como principal diagnóstico. Outros diagnósticos freqüentes foram transtornos ansiosos (15,4%) e esquizofreniformes (14,4%), alcoolismo (4,1%), e abuso de sedativos (2,6%). Cinqüenta e nove porcento dos idosos atendidos foram encaminhados para tratamento ambulatorial, enquanto 20,3% dos casos necessitaram de acompanhamento em regime de internação. Os transtornos mentais do idoso já representam uma parcela importante dos atendimentos realizados em um pronto-socorro psiquiátrico. É importante que os profissionais de saúde estejam cientes das particularidades dos quadros clínicos nessa faixa etária e tenham condições de conduzir de forma adequada o tratamento de idosos com problemas de saúde mental.

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Section: Método E Análise Dos Dadosunclassified

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Almeida

1999

Rev. Bras. Psiquiatr.

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“…A few community surveys have been carried out, and they have found rates of anxiety, depression and dementia to be at least comparable with those in the indigenous elderly population. For example, a recent survey of the elderly ethnic minority communities in Liverpool (McCracken et al, 1997) found rates of depression that were slightly higher than in the indigenous population. The nonEnglish speaking ethnic minorities had higher rates of dementia than those minorities that spoke English, who had rates similar to those in the indigenous population.…”

Section: Epidemiologymentioning

confidence: 99%

Diagnosis of mental illness in elderly people from ethnic minorities

Lindesay¹

1998

Adv. psychiatr. treat

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From the 1991 census (Office of Population Censuses and Surveys, 1993) it is estimated that 5.9% of the total population of England and Wales belong to an ethnic minority, and that 3% of this ethnic minority population are aged 65 years and older. This compares with 17% aged 65 years and older in the indigenous population. Although the numbers of elderly people from ethnic minorities are small in absolute terms, these groups are growing rapidly, and mental health professionals working with elderly patients will increasingly need to be equipped with the necessary services and skills to meet their specific needs. The elderly ethnic minority population of the UK is extremely diverse; the largest groups originate from the Indian subcontinent and the Caribbean, but there are also significant communities of Chinese, Somali, Vietnamese, Eastern European, Mediterranean and Irish origin, all of which require consideration when planning and providing services, whatever their numbers. This diversity is also important when considering the various factors that influence the presentation and diagnosis of mental disorders in these groups.

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“…Though the MMSE is validated in Gujarati, there are little data on its use in Punjabi. Whilst the proportion of Black and Minority Ethnic people affected by dementia in the UK is broadly similar to that found among white people (Shah, 2010), higher levels have been found in non-English-speaking groups (McCracken, 1997). Importantly, there have been no large-scale UK prevalence studies to indicate that our findings may reflect a general population difference in cognitive impairment.…”

Section: Discussionmentioning

confidence: 49%

British Indian carers of stroke survivors experience higher levels of anxiety and depression than White British carers: findings of a prospective observational study

Johnson¹,

Manning²,

Katbamna³

et al. 2014

Divers Equal Health Care

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What we know . Up to 40% of carers report significant carer strain. Consequences of increased carer strain include unsuccessful rehabilitation, poorer physical and psychosocial outcomes for stroke survivors, and high rates of institutionalisation. . Though caregiver strain depends in part on the severity of the initial stroke, the level of disability caused, and the level of care needed by the stroke survivor, carer characteristics are also important. . The supplementation of information and emotional support with specific training in basic nursing skills and activities of daily living facilitation is beneficial, in terms of carer outcomes, at least in a white, middle class population. . For minority ethnic groups, we do not know whether the same factors predict carer strain as for the majority, or whether the same interventions, aimed at alleviating it, are beneficial.What this paper adds . British Indian carers reported higher levels of depressive symptoms than White British carers.. British Indian stroke survivors were more likely to have significant cognitive impairment.. We found no significant differences in either the incidence or predictors of carer strain between White British and British Indian carers, using our prespecified definitions of carer strain. . Levels of reported depression, and anxiety and depression combined, were significantly higher in the British Indian carers, and levels of physical activity among carers were lower.

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Prevalence of dementia and depression among elderly people in Black and ethnic minorities

Abstract: A complete enumeration of the elderly in ethnic minority groups is best achieved by using several different methods. Diagnosis of dementia may be misleading among those who do not speak the dominant language.

Cited by 108 publications

References 11 publications

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Idosos atendidos em serviço de emergência de saúde mental: características demográficas e clínicas

Diagnosis of mental illness in elderly people from ethnic minorities

British Indian carers of stroke survivors experience higher levels of anxiety and depression than White British carers: findings of a prospective observational study

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