Int J Alzheimers Dis. 2012;2012:638267. doi: 10.1155/2012/638267. Epub 2012 Oct 24.
The needs of older people with mental health problems: a particular focus on dementia patients and their carers.
International journal of Alzheimer's disease
Joaquim Passos, Carlos Sequeira, Lia Fernandes
Affiliations
Affiliations
- Health Sciences, School of Health of Viana do Castelo, 4900-314 Viana do Castelo, Portugal.
PMID: 23193496
PMCID: PMC3488405 DOI: 10.1155/2012/638267
Abstract
The problems and needs of older people are often associated with mental illness, characterized by a set of clinical manifestations, which constitute important domains for investigation and clinical practice. This paper presents the results of a pilot study whose main purpose was to identify met and unmet needs and to analyze the relationship between those needs, psychopathology and functionality in older people with mental health problems. A sample of 75 patients aged 65 or over, of both sexes, diagnosed with mental illness using ICD-9. The main diagnoses were depression (36%) and dementia (29.3%). Most patients had cognitive impairment (MMSE, 52%; CDT, 66.7%), depression (GDS, 61.3%), anxiety (ZAS, 81.3%), and moderate dependence (BI, 49.3% and LI, 77.3%). The main unmet needs found were daytime activities (40%), social benefits (13.3%), company (10.7%), psychological distress (9.3%), and continence (8%). The majority of these unmet needs occur with dementia patients. The majority of the carers of these patients had global needs (met and unmet) in terms of psychological distress. Findings also reveal that a low level of functionality is associated with dementia diagnoses. The association analyses suggest that dementia is an important determinant of the functional status and needs.
References
- Br J Psychiatry. 2000 May;176:444-52 - PubMed
- Gerontologist. 1969 Autumn;9(3):179-86 - PubMed
- Aging Ment Health. 2010 Jan;14(1):44-56 - PubMed
- Nurs Res Pract. 2011;2011:408024 - PubMed
- J Psychiatr Res. 1982-1983;17(1):37-49 - PubMed
- Health Qual Life Outcomes. 2010 Nov 12;8:132 - PubMed
- Rev Saude Publica. 2008 Apr;42(2):302-7 - PubMed
- Rev Neurol. 1999 Apr 1-15;28(7):648-55 - PubMed
- Int Psychogeriatr. 2009 Feb;21(1):94-102 - PubMed
- Rev Lat Am Enfermagem. 2009 Sep-Oct;17(5):620-4 - PubMed
- J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
- Md State Med J. 1965 Feb;14:61-5 - PubMed
- J Affect Disord. 2011 Nov;134(1-3):242-8 - PubMed
- Psychosomatics. 1971 Nov-Dec;12(6):371-9 - PubMed
- J Affect Disord. 2012 Feb;136(3):848-56 - PubMed
- Int J Geriatr Psychiatry. 2007 Mar;22(3):181-8 - PubMed
- Arch Gerontol Geriatr. 2010 Jul-Aug;51(1):54-8 - PubMed
Publication Types