Search results for ‘Subject term:"mental health problems"’ Sort:
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Risk of dementia and death in community-dwelling older men with bipolar disorder
- Authors:
- ALMEIDA Osvaldo P., et al
- Journal article citation:
- British Journal of Psychiatry, 209(2), 2016, pp.121-126.
- Publisher:
- Cambridge University Press
Background: Bipolar disorder has been associated with cognitive decline, but confirmatory evidence from a community-derived sample of older people is lacking. Aims: To investigate the 13-year risk of dementia and death in older adults with bipolar disorder. Method: Cohort study of 37 768 men aged 65–85 years. Dementia (primary) and death (secondary), as recorded by electronic record linkage, were the outcomes of interest. Results: Bipolar disorder was associated with increased adjusted hazard ratio (HR) of dementia (HR = 2.30, 95% CI 1.80–2.94). The risk of dementia was greatest among those with <5 years of history of bipolar disorder or who had had illness onset after 70 years of age. Bipolar disorder was also associated with increased mortality (HR = 1.51, 95% CI 1.28–1.77). Competing risk regression showed that bipolar disorder was associated with increased hazard of death by suicide, accidents, pneumonia or influenza, and diseases of the liver and digestive system. Conclusions: Bipolar disorder in later life is associated with increased risk of dementia and premature death. (Publisher abstract)
Association of psychological distress late in life and dementia-related mortality
- Authors:
- ROSNESS Tor Atle, et al
- Journal article citation:
- Aging and Mental Health, 20(6), 2016, pp.603-610.
- Publisher:
- Taylor and Francis
Objective: This study investigates the association between self-reported psychological distress and risk of dementia-related mortality. Method: The study included 31,043 eligible individuals between the ages of 60 and 80 years, at time of examination, from the CONOR (Cohort of Norway) database. They were followed for a period of 17.4 years (mean 11.5 years). The CONOR Mental Health Index, a seven-item self-report scale was used. A cut-off score equal to or above 2.15 on the scale denoted psychological distress. Cox regression was used to assess the association between psychological distress and risk of dementia-related mortality. Results: Total number of registered deaths was 11,762 and 1118 (9.5%) were classified as cases of dementia-related mortality. 2501 individuals (8.1%) had psychological distress, of these, 119 (10.6%) had concomitant dementia-related mortality. Individuals with psychological distress had an increased risk of dementia-related mortality after adjusting for age, gender and education. The association remained significant although attenuated when implemented in a full adjusted model, including general health status, smoking, obesity, hypertension, diabetes and history of cardiovascular disease. Conclusion: Results indicate that psychological distress in elderly individuals is associated with increased risk of dementia-related mortality. Individuals at increased risk of dementia may benefit from treatments or interventions that lessen psychological distress, but this needs to be confirmed in future clinical studies. (Edited publisher abstract)
Survival of patients with incident dementia who had a pre-existing psychiatric disorder: a population-based 7-year follow-up study
- Author:
- MENG Xiangfei
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(7), July 2012, pp.683-691.
- Publisher:
- Wiley
Dementia is known to reduce life expectancy but there is limited information about the survival of patients with a psychiatric disorder who later develop dementia. The authors aim to provide survival data on this group of patients and to identify mortality risk factors. All residents of Saskatchewan diagnosed with psychiatric problems and/or dispensed a psychiatric drug in 2000 but without dementia at baseline were followed to the end of 2006; the development of incident dementia was noted. Median survival time (in months) and selected predictors of mortality were measured. By December 2006, 5,583 subjects with psychiatric disorders in 2000 had been diagnosed with dementia, and 60.65% of them had died. Dementia-incidence density in this population for 2000 was 0.01 per 1000 person years at risk among those aged 18–64 years and rapidly increased to 3.13 per 1000 person years at risk among those aged 75 to 84 years. The median survival time from dementia onset to death was 32.66 months. Being male, later age of onset of dementia, having a lower income, and a high chronic disease score predicted shorter survival. The authors note that the median survival time was shorter than that reported for patients with dementia only.
The survival and characteristics of older people with and without dementia who are hospitalised following intentional self-harm
- Authors:
- MITCHELL Rebecca, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(8), 2017, pp.892-900.
- Publisher:
- Wiley
Objective: Characteristics of older people with and without dementia who are hospitalised following self-harm remains largely unexplored. This research compares the characteristics of older people with and without dementia who self-harm, compares associations of mental health-related diagnoses with those hospitalised for a self-harm and a non-self-harm injury and examines mortality by injury intent. Method: A population-based study of individuals aged 50+ years with and without dementia admitted to hospital for a self-harm injury (and those with other injuries) using linked hospital admission and mortality records during 2003–2012 in New South Wales (NSW), Australia. Health outcomes, including hospital length of stay (LOS), 28-day readmission and 30-day and 12-month mortality were examined by dementia status. Results: There were 427 hospitalisations of individuals with dementia and 11,684 hospitalisations of individuals without dementia following self-harm. The hospitalisation rate for self-harm for individuals with dementia aged 60+ years was double the rate for individuals without dementia (72.2 and 37.5 per 100,000). For both older people with and without dementia, those who self-harmed were more likely to have co-existent mental health and alcohol use disorders than individuals who had a non-self-harm injury. Individuals with dementia had higher 12-month mortality rates, 28-day readmission and longer LOS than individuals without dementia. Conclusion: Dementia is associated with an increased risk of hospitalisation for self-harm in older people and worse outcomes. The high rate of coexistent mental health conditions suggests that interventions which reduce behavioural and psychological symptoms of dementia might reduce self-harm in people with dementia (Publisher abstract)
Gender differences in survival of 234 patients referred to a psychogeriatric service
- Authors:
- DAVIS Philip S., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(11), November 2000, pp.1061-1069.
- Publisher:
- Wiley
This study aimed to explore the survival characteristics of psychogeriatric patients in Western Australia. Linked health service data were analysed using relative survival analysis and actuarial methods. Gender-specific factors appear to affect survival in psychogeriatric patients. Male patients are younger on average, but experience higher mortality than female patients.
Effects of hospital closure on mortality rates of over-65 long-stay psychiatric population
- Authors:
- JACKSON Graham Alan, WHYTE Jennifer
- Journal article citation:
- International Journal of Geriatric Psychiatry, 13(12), December 1998, pp.836-839.
- Publisher:
- Wiley
The closure of a 100-year-old hospital has allowed the authors to look at the effects on mortality of moving the whole over-65 long-stay population to other settings. The results confirm that there is a slight excess of deaths during and immediately after these moves, but that there is no long-term effect on morality rates.
Psychological distress among informal supporters of frail older people at home and in institutions
- Authors:
- BUCK Deborah, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(7), July 1997, pp.737-744.
- Publisher:
- Wiley
Investigates the presence of psychiatric morbidity in informal carers using the General Health Questionnaire (GHQ) and examines which factors best predict psychiatric morbidity. Describes a two-year longitudinal, panel survey of informal supporters of frail elderly subjects, using semi-structured interview schedules. Results suggest the need for greater collaboration between formal and informal care. Little work has been carried out to ascertain which interventions are most effective in alleviating carer stress concludes that a series of randomised controlled trials to determine long-term effectiveness of various interventions for different groups of carers is required.