International Journal of Geriatric Psychiatry, 24(7), July 2009, pp.701-708.
Publisher:
Wiley
Vascular disorders are important potential causes of cognitive impairment and common mental disorders but their specificity as risk factors has yet to be clarified. The objectives of this analysis were to compare vascular and non-vascular health problems with respect to their associations with cognitive function and common mental disorder. An analysis was carried out of cross-sectional data from the 2000 UK National Survey of Psychiatric Morbidity. The two dependent variables analysed were common mental disorder (revised Clinical Interview Schedule) and cognitive function (TICSm and animal naming) in survey participants who were aged 60-74 years (n = 2007). Associations with self-reported vascular and common non-vascular (musculoskeletal, respiratory or gastrointestinal) disorders were compared. Disability (SF-12 physical scale) was considered as a potential confounding/mediating factor). Results showed that vascular disorders were associated with impaired global cognitive function and lower memory but not verbal fluency scores after adjustment for age, gender, education and social class. No such associations were found for non-vascular disorders. Vascular and non-vascular disorders were associated with common mental disorder to a similar extent, and associations were substantially explained by disability. Lower cognitive function was specifically associated with vascular disorders. Findings for common mental disorder were more consistent with an effect of disability rather than the actual consequences of specific health complaints.
Vascular disorders are important potential causes of cognitive impairment and common mental disorders but their specificity as risk factors has yet to be clarified. The objectives of this analysis were to compare vascular and non-vascular health problems with respect to their associations with cognitive function and common mental disorder. An analysis was carried out of cross-sectional data from the 2000 UK National Survey of Psychiatric Morbidity. The two dependent variables analysed were common mental disorder (revised Clinical Interview Schedule) and cognitive function (TICSm and animal naming) in survey participants who were aged 60-74 years (n = 2007). Associations with self-reported vascular and common non-vascular (musculoskeletal, respiratory or gastrointestinal) disorders were compared. Disability (SF-12 physical scale) was considered as a potential confounding/mediating factor). Results showed that vascular disorders were associated with impaired global cognitive function and lower memory but not verbal fluency scores after adjustment for age, gender, education and social class. No such associations were found for non-vascular disorders. Vascular and non-vascular disorders were associated with common mental disorder to a similar extent, and associations were substantially explained by disability. Lower cognitive function was specifically associated with vascular disorders. Findings for common mental disorder were more consistent with an effect of disability rather than the actual consequences of specific health complaints.
GREAT BRITAIN. Department of Health. Social Services Inspectorate, ARTHRITIS CARE
Publisher:
Great Britain. Department of Health
Publication year:
1996
Pagination:
26p.,list of orgs.
Place of publication:
London
Report outlining the main concerns expressed by a sample of disabled people and their carers and identifying issues for service delivery, mainly in health and social services, but also for transport, education, housing and employment.
Report outlining the main concerns expressed by a sample of disabled people and their carers and identifying issues for service delivery, mainly in health and social services, but also for transport, education, housing and employment.
Subject terms:
housing, physical disabilities, social care provision, user views, transport, arthritis, carers, education, employment, health care;
... at are: cerebral palsy, impairment to the function of the spinal cord, amputation, muscular dystrophy, arthritis, epilepsy, multiple sclerosis, diabetes, short stature, learning disability, hearing impairment, and visual impairment.
Practical text that includes in-depth descriptions of 12 different types of disability, together with personal accounts of each. Each section also includes information on social and emotional aspects, family reactions, education, personal adjustment, sexuality, employment and leisure, attitudes of others, and how to react appropriately as a non-disabled person. The disabilities looked at are: cerebral palsy, impairment to the function of the spinal cord, amputation, muscular dystrophy, arthritis, epilepsy, multiple sclerosis, diabetes, short stature, learning disability, hearing impairment, and visual impairment.
Aimed at all those concerned with commissioning, purchasing or providing health care services for black and minority ethnic groups. Lists books, video's, audio cassettes, and packs.Contains resources which: promote healthy lifestyles, inform about health services and how to use them, and are concerned with particular conditions and diseases. Also includes training resources. Includes listings on: access to health services; alcohol; ante/post natal care; communications (including interpreting/translating); contraceptives; death and dying; environmental health; equal opportunities; female genital mutilation/circumcision; HIV/AIDS; immunisation; learning difficulties; mental health; nutrition; older people; child care; disability; refugees; religion; sickle cell; Tay Sachs disease; Thalassaemia; travellers; and women's health.
Aimed at all those concerned with commissioning, purchasing or providing health care services for black and minority ethnic groups. Lists books, video's, audio cassettes, and packs.Contains resources which: promote healthy lifestyles, inform about health services and how to use them, and are concerned with particular conditions and diseases. Also includes training resources. Includes listings on: access to health services; alcohol; ante/post natal care; communications (including interpreting/translating); contraceptives; death and dying; environmental health; equal opportunities; female genital mutilation/circumcision; HIV/AIDS; immunisation; learning difficulties; mental health; nutrition; older people; child care; disability; refugees; religion; sickle cell; Tay Sachs disease; Thalassaemia; travellers; and women's health.
Subject terms:
HIV AIDS, interpreting, learning disabilities, learning disability nursing, older people, physical disabilities, post qualifying education, religions, refugees, sickle cell anaemia, travellers, women, alcohol misuse, babies, arthritis, black and minority ethnic people, cancer, children, commissioning, contraception, death, diabetes, Downs syndrome, environmental factors, equal opportunities, female genital mutilation, Gypsies, health, health care, health education;