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Depression, Dementia and Disability in the Elderly

Published online by Cambridge University Press:  02 January 2018

R. A. Griffiths
Affiliation:
Leverhulme Research Fellow
W. R. Good
Affiliation:
Radcliffe Infirmary, Oxford
N. P. Watson
Affiliation:
The Health Centre, Earls Lane, Deddington, Oxon
H. F. O'Donnell
Affiliation:
The Health Centre, Earls Lane, Deddington, Oxon
P. J. Fell
Affiliation:
The Health Centre, Earls Lane, Deddington, Oxon
J. M. Shakespeare
Affiliation:
The Health Centre, Earls Lane, Deddington, Oxon

Abstract

A structured sample of mobile elderly patients in a rural community practice was assessed on validated rating scales for depression, dementia and disability. A total of 62% of the sample was abnormal on at least one variable. The overall prevalence of depression was 13%; the overall prevalence of dementia was either 10 or 18% depending on the criterion of Mental Test Score (MTS). Depression and dementia were related, depression being more common in females. In depressed and demented patients, MTS was age-related in those over 60 years; in depression alone, MTS was not age-related. Dementia was age-related, particularly over the age of 75. Disability increased with age and was more common in females. Disability was associated with both depression and dementia.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Akhtar, A. J. (1972) Refusal to participate in a survey of the elderly. Gerontologia Clinica, 14, 205211.CrossRefGoogle Scholar
Akhtar, A. J., Broe, G. A., Crombie, A., McLean, W. M. R., Andrews, G. R. & Caird, F. I. (1973) Disability and dependence in the elderly at home. Age and Ageing, 2, 102111.Google Scholar
Åsberg, M., Montgomery, S. A., Ferris, C., Schalling, D. & Sedvall, G. (1978) A comprehensive psychopathological rating scale. Acta Psychiatrica Scandinavica, Supplementum, 271, 527.CrossRefGoogle Scholar
Bech, P., Gram, L. F., Dein, E., Jacobsen, O., Vitger, J. & Bolwig, T. G. (1975) Quantitative rating of depressive states: Correlation between clinical assessment, Beck's self-rating scale and Hamilton's objective rating scale. Acta Psychiatrica Scandinavica, 51, 161170.Google Scholar
Beck, A. T. (1967) Depression: Causes and Treatment. Philadelphia: University of Pennsylvania Press.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.Google Scholar
Blazer, D. G. (1980) The diagnosis of depression in the elderly. Journal of the American Geriatric Society, 28, 5258.CrossRefGoogle ScholarPubMed
Blazer, D. G. (1982) Depression in Late Life. St. Louis: Mosby.Google Scholar
Blessed, G., Tomunson, B. E. & Roth, M. (1968) The association between quantitative measures of dementia and of senile change in the cerebral gray matter of elderly subjects. British Journal of Psychiatry, 114, 797811.Google Scholar
Bowman, K. O. & Shenton, L. R. (1975) Omnibus test contours for departures from normality based on √b, and b2 . Biometrika, 62, 243250.Google Scholar
Carney, M. W. P., Roth, M. & Garside, R. F. (1965) The diagnosis of depressive syndromes and the prediction of E.C.T. response. British Journal of Psychiatry, 111, 659674.Google Scholar
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Gurland, B. J., Fleiss, J. L. & Sharpe, L. (1976) A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the geriatric mental test schedule. I. Development and reliability. Psychological Medicine, 6, 439449.Google Scholar
Freedman, N., Bucci, W. & Elkowitz, E. (1982) Depression in a family practice elderly population. Journal of the American Geriatric Society, 30, 372377.Google Scholar
Garrad, J. & Bennett, A. E. (1971) A validated interview schedule for use in population surveys of chronic disease and disability. British Journal of Preventive & Social Medicine, 25, 97104.Google ScholarPubMed
Gurland, B., Dean, L., Cross, P. & Golden, R. (1980) The epidemiology of depression and dementia in the elderly: the use of multiple indicators of these conditions. In Psychopathology of the Aged (eds J. O. Cole & J. E. Barrett). New York: Raven Press.Google Scholar
Gurland, B., Golden, R. & Challop, J. (1982) Unidimensional and multidimensional approaches to the differentiation of depression and dementia in the elderly. In Aging, Volume 19, Alzheimer's Disease: A Report of Progress in Research (eds S. Corkin, K. L. Davis, J. H. Growden, E. Usdain & R. J. Wurtman). New York: Raven Press.Google Scholar
Gurland, B., Copeland, J., Kuriansky, J., Kelleher, M., Sharpe, L. & Dean, L. L. (1983) The Mind and Mood of Ageing. New York: Haworth Press.Google Scholar
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.CrossRefGoogle ScholarPubMed
Hamilton, M. (1976) Comparative value of rating scales. British Journal of Clinical Pharmacology, 3 (Supplement 1), 5860.CrossRefGoogle ScholarPubMed
Herbst, K. G. & Humphrey, C. (1980) Hearing impairment and mental state in the elderly living at home. British Medical Journal, 281, 903905.Google Scholar
Hodkinson, H. M. (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing, 1, 233238.Google Scholar
Hodkinson, H. M. (1973) Mental impairment in the elderly. Journal of the Royal College of Physicians, London, 7, 305317.Google Scholar
Kay, D. W. K. & Roth, M. (1955) Physical accompaniments of mental disorder in old age. Lancet, ii, 740745.CrossRefGoogle ScholarPubMed
Kay, D. W. K. & Bergmann, K. (1980) Epidemiology of mental disorders among the aged in the community. In Handbook of Mental Health and Aging (eds J. E. Birren & R. B. Sloane). Englewood Cliffs, NJ: Prentice Hall.Google Scholar
Kearns, N. P., Cruickshank, C. A., McGuigan, K. J., Riley, S. A., Shaw, S. P. & Snaith, R. P. (1982) A comparison of depression rating scales. British Journal of Psychiatry, 141, 4549.CrossRefGoogle ScholarPubMed
Kral, V. A. (1978) Benign senescent forgetfulness. In Aging, Volume 7, Alzheimer's Disease: Senile Dementia and Related Disorders (eds R. Katzman, R. D. Terry & K. L. Bick). New York: Raven Press.Google Scholar
Lloyd, C. M. (1970) Royal College of Physicians' Study of Mental Disease in the Elderly. Report of Findings of a Pilot Study. London: Royal College of Physicians.Google Scholar
Miller, N. E. (1980) The measurement of mood in senile brain disease: examiner ratings and self-reports. In Psychopathology in the Aged (eds J. O. Cole & J. E. Barrett). New York: Raven Press.Google Scholar
Milne, J. S., Maule, M. M. & Williamson, J. (1971) Method of sampling in a study of older people with a comparison of respondents and non-respondents. British Journal of Preventive & Social Medicine, 25, 3741.Google Scholar
Mortimer, J. A., Schuman, L. M. & French, L. R. (1981) Epidemiology of dementing illness. In The Epidemiology of Dementia (eds J. A. Mortimer & L. M. Schuman). New York: Oxford University Press.Google Scholar
Murphy, E. (1983) The prognosis of depression in old age. British Journal of Psychiatry, 142, 111119.Google Scholar
Nie, N. H. & Hull, C. H. (1981) SPSS Update 7–9: New Procedures and Facilities for Releases 7–9. New York: McGraw Hill.Google Scholar
Nie, N. H., Hull, C. H., Jenkins, J. G., Steinbrenner, K. & Bent, D. H. (1975) Statistical Package for the Social Sciences, 2nd ed. New York: McGraw Hill.Google Scholar
Reifler, B. V., Larson, E. & Hanley, R. (1982) Coexistence of cognitive impairment and depression in geriatric outpatients. American Journal of Psychiatry, 139, 623626.Google Scholar
Roth, M. & Kay, D. W. K. (1956) Affective disorder arising in the senium. II Physical disability as an aetiological factor. Journal of Mental Science, 102, 141150.CrossRefGoogle ScholarPubMed
Stonier, P. D. (1973) A comparison of two mental status questionnaires used in the assessment of dementia. Elective period project report, University of Manchester.Google Scholar
Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A. & Locke, B. Z. (1977) Assessing depressive symptoms in five psychiatric populations: a validation study. American Journal of Epidemiology, 106, 203214.CrossRefGoogle ScholarPubMed
Williamson, J., Stokoe, I. H., Gray, S., Fisher, M., Smith, A., McGhee, A. & Stephenson, E. (1964) Old people at home. Their unreported needs. Lancet, i, 11171120.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 6370.CrossRefGoogle ScholarPubMed
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