Y. Forsell et B. Winblad, PSYCHIATRIC-SYMPTOMS IN A TOTAL POPULATION OF VERY ELDERLY - DATA FROM PHYSICIAN EXAMINATIONS AND INFORMANT REPORTS, AGING & MENTAL HEALTH, 1(3), 1997, pp. 238-242
Knowledge about the epidemiology of psychiatric symptoms and associate
d variables in the growing cohort of very elderly is sparse. The aim o
f this study was to further explore this issue in a very elderly popul
ation using data from physician examinations and informant interviews.
Three-hundred-and-thirty persons aged 90 and over were extensively ex
amined by physicians, including the administration of a psychiatric in
terview. Informants were also interviewed. Of the 330 participants, 25
3 persons had complete data. Of the 253, 114 were suffering from demen
tia and 139 were not. Generally the informants reported more psychiatr
ic symptoms than what were recorded at the physicians' examinations. T
he most commonly reported symptoms included sleep disturbances anxiety
and suicidal thoughts. If dementia was present, informants generally
reported more psychiatric symptoms than the persons themselves. Howeve
r, both suicidal and depressive thoughts were more often registered at
the physicians' examinations. No correlations were found between soma
tic disorders, social support, demographic variables or disabilities i
n daily living and number of psychiatric symptoms according to informa
nt or physician data. The prevalence of psychiatric symptoms was gener
ally high, especially if dementia was present. The agreement between p
hysician and informant data concerning psychiatric symptoms was poor.