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Population screening and the early detection of dementing disorders in old age: a review

Published online by Cambridge University Press:  09 July 2009

Brian Cooper  and
Horst Bickel
Brian Cooper*
Affiliation:
Department of Epidemiological Psychiatry, Central Institute of Mental Health, Mannheim, Federal Republic of Germany
Horst Bickel
Affiliation:
Department of Epidemiological Psychiatry, Central Institute of Mental Health, Mannheim, Federal Republic of Germany
*
1 Address for correspondence: Prof. Dr B. Cooper Zentralinstitut für Seelische Gesundheit, D-6800 Mannheim 1, Postfach 5970, Federal Republic of Germany.
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Synopsis

The scope for the early detection of dementing disorders in the elderly by means of screening techniques is reviewed in the light of the basic principles of early disease detection. It is concluded that, while there is an increasingly urgent need for the development and application of psychogeriatric screening methods as a step towards preventive action, such methods are still at an early experimental stage. Prescriptive screening programmes are contra-indicated at present. The most immediate requirement is for evaluative research, which should be planned to take account both of the properties of the screening instruments and of the health-care and social settings in which these are to be applied. No major progress in this field can be expected unless it proves possible to integrate methods of early case-detection, and of systematic surveillance of the at-risk elderly, into the work of primary medical and social services.

Type
Research Article
Information
Psychological Medicine , Volume 14 , Issue 1 , February 1984 , pp. 81 - 95
Copyright
Copyright © Cambridge University Press 1984

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References

Anderson, F. (1976). The effect of screening on the quality of life after 70. Journal of the Royal College of Physicians 10, 161–169.Google Scholar
Barber, J. H. & Wallis, J. B. (1978). The benefits to an elderly population of continuing geriatric assessment. Journal of the Royal College of General Practitioners 28, 428–433.Google Scholar
Barber, J. H., Wallis, J. B. & McKeating, E. (1980). A postal screening questionnaire in preventive geriatric care. Journal of the Royal College of General Practitioners 30, 49–51.Google Scholar
Bergener, M., Husser, J., Kähler, H. D. & Mehne, P. (1979). Die gesundheitliche und soziale Situation älterer Menschen in der Grossstadt. Schriftenreihe der Bundesminister für Jugend, Familie und Gesundheit, Vol. 74. Kohlhammer: Stuttgart.Google Scholar
Bergmann, K. (1982). A community psychiatric approach to the care of the elderly. Are there opportunities for prevention? In Epidemiology and Prevention of Mental Illness in Old Age (ed. Magnussen, G., Nielsen, J. and Buch, J.), pp. 87–92. GV: Hellerup, Denmark.Google Scholar
Bergmann, K., Kay, D. W. K. & Foster, E. M. (1971). A follow-up study of randomly selected community residents to assess the effects of chronic brain syndrome and cerebrovascular disease. Psychiatry, Part II: International Congress Series No. 274. Excerpta Medica: Amsterdam.Google Scholar
Bernal, G. A., Brannon, L. J., Belar, C., Lavigne, J. & Cameron, R. (1977). Psychodiagnostics of the elderly. In Geropsychology: a Model of Training and Clinical Service (ed. Gentry, W. D.), pp. 43–77. Ballinger: Cambridge, Mass.Google Scholar
Blessed, G. B. & Wilson, I. D. (1982). The contemporary natural history of mental disorder in old age. British Journal of Psychiatry 141, 59–67.Google Scholar
Blessed, G. B., Tomlinson, B. E. & Roth, M. (1968). The association between quantitative measures of dementia and of degeneration changes in the cerebral grey matter of elderly subjects. British Journal of Psychiatry 114, 797–811.Google Scholar
Carr, A. C., Wilson, S. L., Ghosh, A., Ancill, R. J. & Woods, R. T. (1982). Automated testing of geriatric patients using a micro-computer-based system. International Journal of Man-Machine Studies 17, 297–300.Google Scholar
Chamberlain, J. (1973). Population screening. In Recent Advances in Medicine (ed. Baron, D. N., Compston, N. and Dawson, A. M.), pp. 333–364. Churchill Livingstone: Edinburgh.Google Scholar
Chasson, J. B. (1957). On the unreliability of reliability and some other considerations on the assumption of probabilistic patient-states. Psychiatry 20, 163–172.Google Scholar
Cooper, B. & Sosna, U. (1983). Psychische Erkrankung in der Altenbevölkerung. Eine epidemiologische Feldstudie in Mannheim. Nervenarzt 54, 239–249.Google Scholar
Creswell, D. L. & Lanyon, R. J. (1981). Validation of a screening battery for psychogeriatric assessment. Journal of Gerontology 36, 435–440.Google Scholar
Cronbach, L. J. (1949). Essentials of Psychological Testing. Harper: New York.Google Scholar
De Paulo, J. R. & Folstein, M. F. (1978). Psychiatric disturbance in neurological patients. Detection, recognition and hospital course. Annals of Neurology 4, 225–228.Google Scholar
De Paulo, J. R., Folstein, M. F. & Gordon, B. (1980). Psychiatric screening on a neurological ward. Psychological Medicine 10, 125–132.Google Scholar
Dilling, H. & Weyerer, S. (1981). Behandelte und nicht-behandelte psychiatrische Morbidität in der Bevölkerung. Unpublished manuscript: University of Munich.Google Scholar
D'Souza, M. F. (1978). Early diagnosis and multiphasic screening. In Recent Advances in Community Medicine, Vol. 1 (ed. Bennett, A. E.), pp. 195–214. Churchill Livingstone: Edinburgh.Google Scholar
Duncan-Jones, P. & Henderson, A. S. (1978). The use of a two-phase design in a population survey. Social Psychiatry 13, 231–237.Google Scholar
Eastwood, M. R. (1971). Screening for psychiatric disorder. Psychological Medicine 1, 197–208.Google Scholar
Eastwood, M. R. & Corbin, S. (1981). Investigation of suspect dementia. Lancet i, 1261.Google Scholar
Eastwood, M. R. & Trevelyan, M. H. (1972). The relationship between physical and psychiatric disorder. Psychological Medicine 2, 363–372.Google Scholar
Essen-Möller, E. (1956). Individual traits and morbidity in a Swedish rural population. Acta Psychiatrica Scandinavica Suppl. 100.Google Scholar
Fink, R., Shapiro, S., Goldensohn, S. S. & Daily, E. F. (1969). The ‘filter-down’ process to psychotherapy in a group practice medical care program. American Journal of Public Health 59, 245–260.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). ‘Mini-Mental State’. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189–198.Google Scholar
Freedman, G. R., Charlewood, J. E. & Dodds, P. A. (1978). Screening the aged in general practice. Journal of the Royal College of General Practitioners 28, 421–425.Google Scholar
Freemon, F. R. (1976). Evaluation of patients with progressive intellectual deterioration. Archives of Neurology 33, 658–659.Google Scholar
Garfield, S. R. (1970). Multiphasic health testing and medical care as a right. New England Journal of Medicine 283, 1087–1089.Google Scholar
Garrad, J. & Bennett, E. A. (1971). A validated interview schedule for use in population surveys of chronic disease and disability. British Journal of Preventive and Social Medicine 25, 97–104.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric illness by Questionnaire. Maudsley Monograph No. 21. Oxford University Press: London.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970). Psychiatric illness in a suburban general practice. A detailed study using a new method of case identification. British Medical Journal ii, 439–443.Google Scholar
Goldberg, I. D., Regier, D. A. & Burns, B. J. (1980). Use of Health and Mental Health Outpatient Services in 4 Organized Health Care Settings. National Institute of Mental Health, Series DN No. 1. DHSS Publication No. (ADM) 80–859. Supt. of Documents, US Government Printing Office: Washington, D.C.Google Scholar
Haglund, R. M. J. & Schuckitt, M. A. (1976). A clinical comparison of tests of organicity in elderly patients. Journal of Gerontology 31, 654–659.Google Scholar
Hagnell, O. (1966). A Prospective Study of the Incidence of Mental Disorder. The Lundby Project. Nordstedts-Bonniers: Stockholm.Google Scholar
Hagnell, O., Lanke, J. & Rorsman, B. (1982). Increasing prevalence and decreasing incidence of age psychoses. A longitudinal epidemiological investigation of a Swedish population. In Epidemiology and Prevention of Mental Illness in Old Age (ed. Magnussen, G., Nielsen, J. and Buch, J.), pp. 34–41. EGV: Hellerup, Denmark.Google Scholar
Hall, J. N. (1980). Ward rating scales for long-stay patients: a review. Psychological Medicine 10, 277–288.Google Scholar
Harwin, B. G. (1975). Psychogeriatric screening. In Screening in General Practice (ed. Hart, C. R.), pp. 149–160. Churchill Livingstone: Edinburgh.Google Scholar
Helgason, T. (1973). Epidemiology of Mental Disorder in Iceland, a Geriatric Follow-up (Preliminary Report). Excerpta Medica International Congress Series No. 274, pp. 350–357. Excerpta Medica: Amsterdam.Google Scholar
Hodes, C. (1971). Geriatric screening and care in group practice. Journal of the Royal College of General Practitioners 21, 469–472.Google Scholar
Hodkinson, H. M. (1972). Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing 1, 233–238.Google Scholar
Hopkins, B. & Roth, M. (1953). Psychological test performance in patients over 60. II: Paraphrenia, arteriosclerotic psychosis and acute confusion. Journal of Mental Science 99, 451–463.Google Scholar
How, N. H. (1973). A team caring for the elderly at home. Journal of the Royal College of General Practitioners 23, 627–637.Google Scholar
Hutton, J. T. (1981). Results of clinical assessment for the dementia syndrome: implications for epidemiological studies. In The Epidemiology of Dementia (ed. Mortimer, J. A. and Schulman, M. L.), pp. 62–69. Oxford University Press: New York.Google Scholar
Jacobs, J. W., Bernhard, M. R., Delgardo, A. & Strain, J. J. (1977). Screening for organic mental syndromes in the medically ill. Annals of Internal Medicine 86, 40–46.Google Scholar
Kaeser, A. C. & Cooper, B. (1971). The psychiatric patient, the general practitioner and the outpatient clinic: an operational study and a review. Psychological Medicine 1, 312–325.Google Scholar
Kahn, R. L. & Miller, N. E. (1978). Assessment of altered brain function in the aged. In Clinical Psychology of Aging (ed. Siegler, J., Storandt, M. and Elias, M.), pp. 43–69. Plenum Press: New York.Google Scholar
Kahn, R. L., Goldfarb, A. J., Pollack, M. & Peck, A. (1960). Brief objective measures for the determination of mental status in the aged. American Journal of Psychiatry 117, 326–328.Google Scholar
Kaneko, H. (1969). Epidemiological studies on mental disorders of the aged in Japan.In Proceedings of the 8th International Congress of Gerontology, Vol. 1: Abstracts, pp. 284–287. International Association of Gerontology: Washington, D. C.Google Scholar
Katzman, R. & Karasu, T. B. (1975). Differential diagnosis of dementia. In Neurological and Sensory Disorders in the Elderly (ed. Fields, W.), pp. 103–134. Stratton Intercontinental: New York.Google Scholar
Kay, D. W. K. (1962). Outcome and cause of death in mental disorders of old age. A long-term follow-up of functional and organic psychoses. Acta Psychiatrica Scandinavica 38, 249–276.Google Scholar
Kay, D. W. K. (1977). The epidemiology and identification of brain deficit in the elderly. In Cognitive and Emotional Disturbance in the Elderly (ed. Eisdorfer, C. and Friedel, R. D.), pp. 11–26. Year Book Medical Publishers: Chicago.Google Scholar
Kay, D. W. K. & Bergmann, K. (1980). Epidemiology of mental disorders among the aged in the community. In Handbook of Mental Health and Aging (ed. Birren, J. E. and Sloane, R. B.), pp. 34–56. Prentice-Hall: Englewood Cliffs, NJ.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964). Old age mental disorders in Newcastle-upon-Tyne. Part 1. A study of prevalence. British Journal of Psychiatry 110, 146–158.Google Scholar
Knights, E. & Folstein, M. F. (1977). Unsuspected psychiatric disturbance in medical patients. Annals of Internal Medicine 87, 723–724.Google Scholar
Kohlmeyer, K. (1982). Computertomographischer Beitrag zur Differentialdiagnose vaskulär bedingter Demenz(Multiinfarkt-Typ) und primär degenerative Demenz (Alzheimer-Typ). Zeitschrift für Gerontologie 15, 321–324.Google Scholar
Kramer, M. (1980). The rising pandemic of mental disorders and associated chronic diseases and disabilities. In Epidemiological Research as a Basis for Organization of Extramural Psychiatry (ed. Strömgren, E., Dupont, A. and Nielsen, J. A.), pp. 382–397. Acta Psychiatrica Scandinavica 62, Suppl. 285. Munksgaard: Copenhagen.Google Scholar
Lancet (1983). Editorial: Psychological assessment by computer; i, 1023–1024.Google Scholar
Lawson, J. S., Rodenburg, M. & Dykes, J. A. (1977). A dementia rating scale for use with psychogeriatric patients. Journal of Gerontology 32, 153–159.Google Scholar
Lishman, W. A. (1978). Organic Psychiatry. The Psychological Consequences of Cerebral Disorder, Blackwell: Oxford.Google Scholar
Lowther, C. P., MacLeod, R. D. M. & Williamson, J. (1970). Evaluation of early diagnostic services for the elderly. British Medical Journal iii, 275–277.Google Scholar
Marsden, C. D. & Harrison, M. D. C. (1972). Outcome of investigation of patients with presenile dementia. British Medical Journal ii, 249–252.Google Scholar
Nielsen, J. (1962). A geronto-psychiatric period prevalence investigation in a geographically delimited population. Acta Psychiatrica Scandinavica 38, 307–330.Google Scholar
Nielsen, J., Homma, A. & Biørn-Henriksen, T. (1977). Follow-up 15 years after a gerontopsychiatric prevalence study. Comprehensive Psychiatry 18, 533–544.Google Scholar
Ødegaard, Ø. (1932). Emigration and insanity. Acta Psychiatrica Scandinavica Suppl. 4.Google Scholar
Parsons, P. L. (1965). Mental health of Swansea's old folk. British Journal of Preventive and Social Medicine 19, 43–47.Google Scholar
Pasker, P., Thomas, J. P. & Ashley, J. S. A. (1976). The elderly mentally ill – whose responsibility? British Medical Journal iii, 164–167.Google Scholar
Pattie, A. H. & Gilleard, C. J. (1975). A brief psychogeriatric assessment schedule. British Journal of Psychiatry 127, 489–493.Google Scholar
Pattie, A. H. & Gilleard, C. J. (1976). The Clifton Assessment Schedule – further validation of a psychiatric assessment schedule. British Journal of Psychiatry 129, 68–72.Google Scholar
Pattie, A. H. & Gilleard, C. J. (1979). Manual of the Clifton Assessment Procedures for the Elderly. Hodder & Stoughton: Kent.Google Scholar
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatric Society 23, 433–441.Google Scholar
Plum, F. (1979). Dementia: an approaching epidemic. Nature 279, 372–373.Google Scholar
Qureshi, K. N. & Hodkinson, H. M. (1974). Evaluation of a ten-question mental test in the institutionalized elderly. Age and Ageing 3, 152–157.Google Scholar
Reid, D. D. (1948). Sickness and stress in operational flying. British Journal of Social Medicine 2, 123–131.Google Scholar
Roth, M. (1955). The natural history of mental disorders in old age. Journal of Mental Science 102, 281–301.Google Scholar
Royal College of Physicians (1981). Organic mental impairment in the elderly. Implications for research, education and the provision of services. Report of the College Committee on Geriatrics. Journal of the Royal College of Physicians 15, 141–167.Google Scholar
Rutter, M., Tizard, J. & Whitmore, K. (1970). Education, Health and Behaviour. Longmans: London.Google Scholar
Sackett, D. & Holland, W. W. (1975). Controversy in the detection of disease. Lancet ii, 357–359.Google Scholar
Schaie, K. W. & Schaie, T. P. (1977). Clinical assessment and aging. In Handbook of the Psychology of Aging (ed. Birren, J. E. and Schaie, K. W.), pp. 692–723. Van Nostrand, Reinhold: New York.Google Scholar
Sheldon, J. H. (1948). The Social Medicine of Old Age. Report of an Inquiry in Wolverhampton. Oxford University Press: London.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1981). Psychiatric Illness in General Practice (2nd edn). Oxford University Press: Oxford.Google Scholar
Sluss, T., Gruenberg, E. M. & Kramer, M. (1981). The use of longitudinal studies in the investigation of risk factors for senile dementia – Alzheimer type. In The Epidemiology of Dementia (ed. Mortimer, J. A. and Schuman, L. M.), pp. 132–154. Oxford University Press: New York.Google Scholar
Small, G. W. & Jarvik, L. F. (1982). The dementia syndrome. Lancet ii, 1443–1445.Google Scholar
Smith, J. S. & Kiloh, L. G. (1981). The investigation of dementia: results in 200 consecutive admissions. Lancet i, 824–827.Google Scholar
Smyer, M. A., Hofland, B. F. & Jonas, E. A. (1979). Validity study of the Short Portable Mental Status Questionnaire for the Elderly. Journal of the American Geriatric Society 27, 263–269.Google Scholar
Sternberg, E. & Gawrilowa, S. (1978). Über klinisch-epidemiologische Untersuchungen in der sowjetischen Alterspsychiatrie. Nervenarzt 49, 347–353.Google Scholar
US Commission on Chronic Illness (1957). Prevention of Chronic Illness. Chronic Illness in the United States, Vol. 1. Harvard University Press; Cambridge, Mass.Google Scholar
Victoratos, G. C., Lenman, J. A. R. & Herzberg, L. (1977). Neurological investigation of dementia. British Journal of Psychiatry 130, 131–133.Google Scholar
Wang, H. S. (1980). Diagnostic procedures. In Handbook of Geriatric Psychiatry (ed. Busse, E. W. and Blazer, D. G.), pp. 285–304. Van Nostrand, Reinhold: New York.Google Scholar
Wells, C. E. & Buchanan, D. C. (1977). The clinical use of psychological testing in evaluation for dementia. In Dementia (ed. Wells, C. E.), pp. 189–204. F. A. Davis: Philadelphia.Google Scholar
Williams, J. (1974). A follow-up of geriatric patients after sociomedical assessment. Journal of the Royal College of General Practitioners 24, 341–346.Google Scholar
Williamson, J., Stokoe, J. H. & Gray, S. (1964). Old people at home: their unreported needs. Lancet i, 117–120.Google Scholar
Wilson, J. M. G. & Jungner, G. (1968). Principles and Practice of Screening. Public Health Papers No. 34. WHO: Geneva.Google Scholar
Wilson, L. A. & Brass, W. (1973). Brief assessment of the mental state in domiciliary practice. The usefulness of the Mental Status Questionnaire. Age and Ageing 2, 92–101.Google Scholar
World Health Organization (1959). Mental Health Problems of Aging and the Aged. 6th Report of the Expert Committee on Mental Health. Technical Report Series No. 171. WHO: Geneva.Google Scholar
World Health Organization (1974). Planning and Organization of Geriatric Services. Technical Report Series No. 548. WHO: Geneva.Google Scholar
World Health Organization (1979). Psychogeriatric Care in the Community. Public Health in Europe, No. 10. WHO Regional Office for Europe: Copenhagen.Google Scholar
Zappolo, A. (1977). Characteristics, Social Contacts and Activities of Nursing Home Residents, United States 1973–4. National Nursing Home Survey. DHEW Publication No. (HRA) 77–1778. US Government Printing Office: Washington, D. C.Google Scholar