Abstract:
OBJECTIVES:Dementia is a major and growing health problem. Diagnosis is an important step in the access to care, but many dementia patients remain undiagnosed. This study investigated the magnitude and variation in the difference between 'observed' and 'estimated' prevalence of dementia in general practices. We also explored practice characteristics associated with observed prevalence rates. METHOD:Six Primary Care Trusts (PCTs) provided data on all general practices (N = 351) in their area in terms of number of doctors, patient list size, number of patients over 65 years of age, socio-economic deprivation status of practices and number of patients on dementia registers. RESULTS:The average observed prevalence overall of dementia amongst patients 65 years and over was 3.0% [95CI 2.8, 3.2]. The observed prevalence was 54.5% [95CI 49.2, 58.9] lower than the prevalence observed in the epidemiological studies in the UK. For an average size general practice (list size of 5269 patients) approximately 27 [95CI 22, 32] patients with dementia may remain undiagnosed. Statistically significant differences in prevalence rates were found between the different PCTs (Wald chi-square = 103.8 p < 0.001). The observed prevalence of dementia was significantly lower among practices run by one GP compared to multiple GPs (p = 0.003), and in more affluent areas (p < 0.001). CONCLUSION:Just under a half of the expected numbers of patients with dementia are recognised in GP dementia registers. The underdiagnosis of dementia varies with practice characteristics, socio-economic deprivation and between PCTs, which has implications for the local implementation of the National Dementia Strategy.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Connolly A,Gaehl E,Martin H,Morris J,Purandare Ndoi
10.1080/13607863.2011.596805subject
Has Abstractpub_date
2011-11-01 00:00:00pages
978-84issue
8eissn
1360-7863issn
1364-6915journal_volume
15pub_type
杂志文章abstract:OBJECTIVES:The aim of this study was to investigate physical decline over 1-year in a cohort of older people across the cognitive spectrum. METHODS:Physical function was assessed using the Physiological Profile Assessment (PPA) in 593 participants (cognitively normal [CN]: n = 342, mild cognitive impairment [MCI]: n =...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1474446
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:To examine the effect of personal (coping strategies and locus of control) and social resources (family and friendship support) on adjustment to chronic vision impairment in older adults at baseline (rehabilitation service application), 6 months, and 18 months later. METHOD:313 community dwelling, English s...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860902860912
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:Prior integrative reminiscence interventions have had a limited focus on attachment themes. The attachment-focused integrative reminiscence (AFIR) intervention differs from these in its central emphasis on attachment themes. The wide range of health benefits resulting from integrative reminiscence may be due...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1023764
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:The steeling effect suggests that early-life adversity can have a beneficial impact later in life. However, little is known about its underlying mechanisms and long-term outcomes . The study aimed to examine the role of early-life adversity (ELA) on successful aging, and whether this relationship can be expl...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1433635
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:Dementia is one of the leading causes of dependence in the elderly. This study was conducted to estimate diagnostic performance of dementia screening tests including Mini-Mental State Examination (MMSE), Mini-Cog, Clock Drawing Test (CDT) and Ascertain Dementia 8 questionnaire (AD8) by Bayesian models. METHO...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1320701
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:Little is known about composite patterns of productive engagement among older people. Related, the implication of these patterns for well-being remains unclear. The present study addresses these gaps. METHODS:The analytical sample comprised 2037 community-dwelling Singaporeans aged 60 years and above. We in...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1686458
更新日期:2021-02-01 00:00:00
abstract::The experience of feeling unforgiven for past transgressions may contribute to depressive symptoms in later life. This article tests a model in which feeling unforgiven by God and by other people have direct effects on depressive symptoms while self-unforgiveness and rumination mediate this relationship. The sample co...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860903483136
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:This study investigated the mental health of a cohort of 262 female and 168 male grandparents across the first two years of their transition to grandparenthood, with particular focus on the impact of providing childcare for the grandchild. METHOD:Baseline assessments were made during the pregnancy with the ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1248897
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Similarities exist in behavioral expression of autism spectrum disorder (ASD) and Alzheimer's disease and related dementias (ADRD). The purpose of this study was to assess presence of behavioral and psychiatric symptoms of dementia (BPSD) and ASD-like behaviors in adults with ADRD. METHODS:Using a cross-sec...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1849025
更新日期:2020-11-23 00:00:00
abstract::Objectives: The relationship between body satisfaction and self-esteem among older women is understudied, in particular the potential mechanisms underlying the relationship. The purpose of this study was to investigate social and temporal comparisons and self-objectification, their relationship to body satisfaction an...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1544222
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:Spousal dementia carers have unique support needs; they are likely to disengage from their existing social networks as they need to devote more time to caring as the disease progresses. Previously we showed that support resources can facilitate resilience in carers, but the relationship is complex and varies...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1209734
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:This review examines differences in the use of emotion regulation (ER) strategies among younger and older adults. METHOD:A systematic review using search terms related to ageing and ER identified 23 relevant studies. Narrative synthesis was adopted to analyse the findings. RESULTS:Generally, greater use of...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1396575
更新日期:2019-01-01 00:00:00
abstract::The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dem...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500114555
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:Older adults who have experienced traumatic events earlier in life may be especially vulnerable to additional challenges associated with aging. In a cross-sectional study of older females, the present study examines whether a history of rape is associated with current psychological and health problems. METH...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.884538
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:The research largely aimed at exploring the impact of marital status, cognitive efficiency, gender, physical health and sociocultural context on self-rated emotional competence, depression, memory and cognitive measures. METHOD:Ninety-four healthy adults aged 75-99 were recruited in the Sardinian province o...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.866635
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:Frailty affects an estimated 15% of community dwelling older adults. Few studies look at psychosocial variables like self-efficacy (confidence to perform well at a particular task or life domain) in relation to frailty. The purpose of this study was to evaluate associations between pre-frailty/frailty and se...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1639136
更新日期:2020-12-01 00:00:00
abstract::Little is known about the prevalence of dementia and its associated risk factors in developing countries. Some studies suggest that the prevalence of dementia is lower in developing countries than it is in high-income nations. We sought to determine risk factors for dementia in elderly persons in central Nigeria. Usin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860600736182
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVES:The aim of the present study was to investigate the association between trait gratitude and loneliness in a Dutch population sample of adults over 40 years. In addition, the mediating role of psychological flexibility and engaged living between trait gratitude and loneliness was assessed. METHOD:A total sam...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1673309
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:This study was carried out in an effort to determine the effect of music therapy on depression and physiological parameters in elderly people who were living in a nursing home. METHOD:The study was a randomized controlled trial. The study sample consisted of 64 elderly people who complied with the criteria o...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2016.1222348
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVES:We examined the prospective effects of an evidence-based exercise intervention on depressive symptoms in older Hispanics/Latinos and the potential synergistic effects (if any) of an attribution-retraining component to counter negative ascriptions to the aging process. METHOD:We analyzed baseline, 1-, 12-, 2...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13607863.2018.1450833
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:Fear of falling leads to many adverse consequences and may compromise the quality of life of older adults. Psychological factors are potential mediators between the fear of falling and quality of life, but have yet to be explored in detail. This study presents results from examining the mediating effect of t...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.805398
更新日期:2013-01-01 00:00:00
abstract::The purpose of this study was to begin a preliminary examination of constructs theorized to be related to suicidal behavior by testing a model of the influence of both temperament and emotion regulation on suicidal ideation and hopelessness in a sample of depressed older adults. The model was evaluated using structura...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860412331303775
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:In the past few decades, foreign home care to frail older adults has become a common alternative to family care in many developed countries. Whereas Alzheimer's disease and related dementias (ADRD) are common conditions in this population of frail older adults, little is known about the beliefs of foreign ho...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802534625
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:To investigate changes of cognitive performances in female elderly patients with osteoporosis and to determine whether any impairments can be attributed to dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. METHODS:This cross-sectional study included 277 postmenopausal women, who were divided i...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究
doi:10.1080/13607863.2015.1033680
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:The increasing number of older adults with dementia is a large and growing public health problem. Alzheimer's disease, the prevailing form of dementia, is projected to quadruple worldwide. To date, the care and social integration of individuals with dementia is complicated by limited collaborations between b...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.837149
更新日期:2014-01-01 00:00:00
abstract::Objectives: This study aims to identify heterogeneous depressive symptom trajectories among the widowed elderly in China, to explore predictive variables of latent class membership, and to detect between-classes differences in life satisfaction across time.Method: Data of 198 individuals widowed between 2011 and 2013 ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1603285
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:The negative effect of hypertension has overshadowed possible health problems associated with hypotension. The purposes of this study were to describe the prevalence of hypotension in older adults and to determine the association between hypotension and cognitive function, after adjusting for p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1268093
更新日期:2018-04-01 00:00:00
abstract::To examine the psychometric properties of the 20-item Centre for Epidemiological Studies - Depression scale (CES-D). Data were collected from 400 community-dwelling older adults aged 65 years and above, residing in Chennai, India. The instruments including the CES-D scale were translated into Tamil language. The sampl...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.751580
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:There is very often a lengthy delay between first noticing symptoms of dementia and making first contact with Health Care Professionals (HCPs). This article identifies influences on the decision to contact HCPs for the first time. METHOD:Qualitative thematic analysis of 20 case studies of carer experience. ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2011.651794
更新日期:2012-01-01 00:00:00
abstract::Objectives: Fear of falling is common amongst older adults with and without a prior experience of falling. It is related to decreased quality of life, isolation, and institutionalisation. It also poses a risk for future falls when activity is avoided because of fear of falling and muscle deconditioning occurs. Relativ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1506749
更新日期:2019-12-01 00:00:00