Prevalence, Structure, and Risk Factors for Mental Disorders in Older People

IF 0.6 Q4 GERIATRICS & GERONTOLOGY

Advances in Gerontology Pub Date : 2021-12-09 DOI:10.1134/S2079057021040093

N. N. Petrova, D. A. Khvostikova

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引用次数: 9

Abstract

This review focuses on assessing the prevalence and risk factors of mental disorders in older people in the modern era, including the COVID-19 pandemic. A systematic review of the literature was conducted in PubMed, Elsevier, and Google using keywords over the past 10 years. Substantial discrepancy of data on the prevalence of psychiatric disorders has been shown in the elderly population. The significant incidence of mental disorders among nursing home residents is highlighted. The relevance of nonpsychotic depressive and anxiety disorders is demonstrated for the elderly, along with the difficulty of diagnosing mental disorders associated with physical pathology and cognitive impairments. The risk factors for mental disorders in older adults are socio-demographic but also economic, psychological, and physical. The problem of mental health of the elderly is characterized for the conditions of the COVID-19 pandemic associated with specific risk factors for psychiatric disorders. The shortage of evidence-based research in the treatment of mental disorders in the elderly and the urgency to improve the organization of psychiatric care for such patients are noted. Understanding the structure and prevalence of mental disorders among the elderly will allow optimizing the functioning of healthcare systems.

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老年人精神障碍的患病率、结构和危险因素

本综述的重点是评估包括COVID-19大流行在内的现代老年人精神障碍的患病率和危险因素。在PubMed, Elsevier和Google上使用关键词对过去10年的文献进行了系统的回顾。关于老年人群中精神疾病患病率的数据存在很大差异。在养老院的居民中，精神障碍的显著发生率是突出的。非精神病性抑郁和焦虑障碍的相关性在老年人中得到了证明，同时也证明了诊断与身体病理和认知障碍相关的精神障碍的困难。老年人精神障碍的危险因素有社会人口因素，也有经济、心理和身体因素。老年人心理健康问题的特点是COVID-19大流行与精神障碍的特定危险因素相关。报告指出，在老年人精神障碍治疗方面缺乏循证研究，亟需改善对这类患者的精神护理组织。了解老年人精神障碍的结构和流行情况将有助于优化医疗保健系统的功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Gerontology GERIATRICS & GERONTOLOGY-

CiteScore

0.80

自引率

16.70%

发文量

期刊介绍： Advances in Gerontology focuses on biomedical aspects of aging. The journal also publishes original articles and reviews on progress in the following research areas: demography of aging; molecular and physiological mechanisms of aging, clinical gerontology and geriatrics, prevention of premature aging, medicosocial aspects of gerontology, and behavior and psychology of the elderly.