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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

  1. 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

  1. Br J Psychiatry. 2000 May;176:444-52 - PubMed
  2. Gerontologist. 1969 Autumn;9(3):179-86 - PubMed
  3. Aging Ment Health. 2010 Jan;14(1):44-56 - PubMed
  4. Nurs Res Pract. 2011;2011:408024 - PubMed
  5. J Psychiatr Res. 1982-1983;17(1):37-49 - PubMed
  6. Health Qual Life Outcomes. 2010 Nov 12;8:132 - PubMed
  7. Rev Saude Publica. 2008 Apr;42(2):302-7 - PubMed
  8. Rev Neurol. 1999 Apr 1-15;28(7):648-55 - PubMed
  9. Int Psychogeriatr. 2009 Feb;21(1):94-102 - PubMed
  10. Rev Lat Am Enfermagem. 2009 Sep-Oct;17(5):620-4 - PubMed
  11. J Psychiatr Res. 1975 Nov;12(3):189-98 - PubMed
  12. Md State Med J. 1965 Feb;14:61-5 - PubMed
  13. J Affect Disord. 2011 Nov;134(1-3):242-8 - PubMed
  14. Psychosomatics. 1971 Nov-Dec;12(6):371-9 - PubMed
  15. J Affect Disord. 2012 Feb;136(3):848-56 - PubMed
  16. Int J Geriatr Psychiatry. 2007 Mar;22(3):181-8 - PubMed
  17. Arch Gerontol Geriatr. 2010 Jul-Aug;51(1):54-8 - PubMed

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