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Delusional disorder in old age and the risk of developing dementia - a nationwide register-based study
- Author:
- KRONER Alex
- Journal article citation:
- Aging and Mental Health, 12(5), September 2008, pp.625-629.
- Publisher:
- Taylor and Francis
This study examines whether very late first-contact delusional disorder carries a risk for later development of dementia. By linkage of the psychiatric and the somatic nationwide registers of all out- and in-patients with hospital contact in Denmark, the study included all 60+ patients with first ever from 1 January 1994 to 31 December 2001 with the index main diagnosis: delusional disorder. First contact osteoarthritis patients as well as the general population were used as controls. A total of 1,437 patients with persistent delusional disorder and 7,302 patients with osteoarthritis were included. Median follow-up time until first diagnosis of dementia at discharge was 1.87 and 4.40 years, respectively. The probability of getting a dementia diagnosis was estimated using Poisson regression models with dementia as the outcome of interest. Patients with very late first-contact delusional disorder had an 8.14 (95% CI, 6.51; 10.19) times increased rate of subsequently developing dementia compared with very late first contact osteoarthritis patients. Compared with the general population the rate ratio was 5.49 (95% CI, 4.81; 6.26). Very late first-contact delusional disorder increases the risk of subsequently getting a diagnosis of dementia 5-8 times compared with osteoarthritis patients and the general population.
Subjective memory complaints in general practice predicts future dementia: a 4-year follow-up study
- Authors:
- WALDORFF Frans Boch, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 27(11), November 2012, pp.1180-1188.
- Publisher:
- Wiley
While many older patients have memory complaints (SMC), not all share this information with their GP. The association between SMC and future cognitive decline or dementia is not clear. This study determined the risk for receiving a subsequent hospital-based dementia diagnosis on the basis of patients' reports of SMC in a primary care setting. A total of 40,865 patients were listed with 24 GPs working in the inner district of Copenhagen municipality, Denmark, and 2,934 were 65 years or older. A total of 758 non-nursing home residents aged 65 years and older consulted their GP in October and November 2002, and, when asked, 24% reported memory problems, and 6.6% received a hospital-based dementia diagnosis within the 4-years follow-up. This study indicates that the presence of SMC in an older general practice population is a significant independent predictor for subsequent hospital-based dementia diagnosis. The authors concluded that the GP should inquire about memory complaints to identify vulnerable patients.
The association between loneliness and health – a survey-based study among middle-aged and older adults in Denmark
- Authors:
- JESSEN Mathilde Amalie Buchwald, et al
- Journal article citation:
- Aging and Mental Health, 22(10), 2018, pp.1338-1343.
- Publisher:
- Taylor and Francis
Background: While the association between overall poor health and loneliness among older adults continues to be examined closely, less attention has been given to middle-aged adults. This paper examines the relationship between loneliness and health as measured by self-rated health, physical ability and multi-morbidity in a large sample of Danish adults between the ages of 52–92 years. Furthermore, it identifies vulnerable groups with regard to the year of birth and gender. Method: We apply the survey-study method, using data collected by The Danish National Centre for Social Research in 2012. The authors analysed the association between loneliness and health in 9154 Danish adults through multi-variate regression analyses adjusting for the year of birth, gender, marital status, cohabitation status, employment status and home ownership. Results: They found that loneliness was associated with increased risks of poor self-rated health (OR, 2.58; 95% Cl, 1.20–3.35), limited physical abilities (OR, 1.91; 95% Cl, 1.58–2.32) and multiple diagnoses (OR, 1.77; 95% Cl, 1.48–2.12). Lonely middle-aged adults (52–62 years of age) had an increased risk of having limited physical abilities. Conclusion: Among middle-aged and older Danish adults, loneliness was strongly associated with poor self-rated health, limited physical ability and multi-morbidity. (Edited publisher abstract)
Association between subjective memory complaints and nursing home placement: a four-year follow-up
- Authors:
- BOCH WALDORFF Frans, SIERSMA Volkert, WALDEMAR Gunhild
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(6), June 2009, pp.602-609.
- Publisher:
- Wiley
In order to evaluate whether elderly persons with subjective memory complaints may be regarded as a group of potentially vulnerable patients who need close follow-up, the authors investigated the risk of nursing home placement during a 4-year follow-up period. A prospective cohort survey was carried out. Cox proportional hazard models were used to examine the influence of risk factors on nursing home placement. Results showed that a total of 758 non-nursing home residents aged 65 years and older consulted the General Practitioners in October and November 2002, of whom 50 nursing home placements were observed. Subjective memory complaints were associated with an adjusted Hazard Ratio (HR) of 2.59 for nursing home placement. Other statistical significant covariates were MMSE < 24 (HR = 3.95), age and extreme anxiety/depression. The effect of subjective memory complaints is seen to moderate when subjects are older. The authors conclude that the data of this study indicated that in an elderly primary care population the presence of subjective memory complaints was a significant independent predictor for nursing home placement together with other known risk factors.
There's something fresh in the state of Denmark
- Author:
- LESLIE Helen
- Journal article citation:
- Journal of Dementia Care, 11(1), January 2003, pp.22-24.
- Publisher:
- Hawker
Looks at dementia care in Denmark.