Advertisement

Neurology pp 26-33 | Cite as

The Descriptive Epidemiology of the Dementias

  • D. W. K. Kay
Conference paper

Abstract

As has long been known, dementia is an important cause of admission of elderly patients to psychiatric hospitals. In addition, many demented persons are to be found in nonpsychiatric facilities such as geriatric hospitals, nursing homes and communal homes of various kinds. But are these merely the tip of an iceberg? Only community surveys in which each person has an equal chance of being identified can provide unbiased information about the incidence and prevalence of dementia in a population and the characteristics of those affected. In this paper I shall try to describe what epidemiological surveys have revealed.

Keywords

Vascular Dementia Senile Dementia Mild Dementia Descriptive Epidemiology Short Portable Mental Status Questionnaire 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Henderson AS, Kay DWK (1984) The epidemiology of mental disorders in the aged. In: Kay DWK, Burrows G (eds) Handbook of studies on psychiatry and old age. Elsevier, North Holland, pp 53–88Google Scholar
  2. 2.
    Roth M (1964) The natural history of mental disorders in old age. J Ment Sci 101: 281–301Google Scholar
  3. 3.
    Gurland B, Copeland J, Kuriansky J, Kelleher M, Sharpe L, Dean LL (1983) The mind and mood of aging. Croom Helm, LondonGoogle Scholar
  4. 4.
    Kay DWK, Henderson AS, Scott J, Wilson J, Rickwood D, Grayson DA (1985) Dementia and depression among the elderly living in the Hobart community: the effect of the diagnostic criteria on the prevalence rates. Psychol Med 15: 771–788PubMedCrossRefGoogle Scholar
  5. 5.
    Copeland JRM, Dewey ME, Griffiths-Jones HM (1986) A computerised psychiatric diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT. Psychol Med 16: 89–99Google Scholar
  6. 6.
    Essen-Moller E, Larsson H, Uddenberg CE, White G (1956) Individual traits and morbidity in a Swedish rural population. Acta Psychiatr Scand [Suppl] 100: 1–160Google Scholar
  7. 7.
    Nielsen J (1962) Geronto-psychiatric period-prevalence investigation in a geographically delimited population. Acta Psychiatr Scand 38: 307–330CrossRefGoogle Scholar
  8. 8.
    Weissman MM, Myers JK, Tischler GL, Holzer CE, Leaf PJ, Orvaschel, Brody JA (1985) Psychiatric disorders (DSM-III) and cognitive impairment in the elderly in a U.S. urban community. Arch Gen Psychiatry 41: 959–967Google Scholar
  9. 9.
    Kay DWK, Bergmann K, Forster EM, McKechnie AA, Roth M (1970) Mental illness and hospital usage in the elderly: a random sample followed up. Compr Psychiatry 11: 26–35PubMedCrossRefGoogle Scholar
  10. 10.
    Broe GA, Akhtar AJ, Andrews GR, Caird FI, Gilmore AJJ, McLennan WJ (1976) Neurological disorders in the elderly at home. J Neurol Neurosurg Psychiatry 39: 362–366PubMedCrossRefGoogle Scholar
  11. 11.
    Kaneko Z (1975) Care in Japan. In: Howells JG (ed) Modern perspectives in the psychiatry of old age. Bruner/Mazel, New York, pp 519–530Google Scholar
  12. 12.
    Cooper B, Sosna U (1983) Psychische Erkrankung in der Altersbevölkerung. Eine epidemiologische Feldstudie in Mannheim. Nervenarzt 54: 239–249Google Scholar
  13. 13.
    Larsson T, Sjögren T, Jacobson G (1953) Senile dementia. Acta Psychiatr Scand [Suppl 167] 39: 136Google Scholar
  14. 14.
    Mölsä PK, Marttila RJ, Rinne UK (1982) Epidemiology of dementia in a Finnish population. Acta Neurol Scand 65: 541–552PubMedCrossRefGoogle Scholar
  15. 15.
    Äkesson H (1969) A population study of senile and arteriosclerotic psychoses. Hum Hered 19: 546–566PubMedCrossRefGoogle Scholar
  16. 16.
    Gardner MJ, Winter PD, Barker DLJP (1984) Atlas of mortality from selected diseases in England and Wales 1968–1978. Wiley, ChichesterGoogle Scholar
  17. 17.
    Whalley LJ, Holloway S (1985) Non-random geographical distribution of Alzheimer’s presenile dementia in Edinburgh, 1953–76. Lancet March 9: 578CrossRefGoogle Scholar
  18. 18.
    Mortimer JA, Schuman LM, French LR (1981) The epidemiology of dementing illness. In: Mortimer JA, Schuman LM (eds) The epidemiology of dementia. Oxford University Press, New York, pp 132–154Google Scholar
  19. 19.
    Hagnell O, Lanke J, Rorsman B, Öhman R, Öjesjö L (1983) Current trends in the incidence of senile and multi-infarct dementia. A prospective study of a total population followed over 25 years; the Lundby study. Arch Psychiatr Nervenkr 233: 423–438PubMedCrossRefGoogle Scholar
  20. 20.
    Sluss TK, Gruenberg EM, Kramer M (1981) The use of longitudinal studies in the investigation of risk factors for Senile Dementia - Alzheimer type. In: Mortimer JA, Schuman LM (eds) The epidemiology of dementia. Oxford University Press, New York, pp 132–154Google Scholar
  21. 21.
    Miller F de W, Hicks SP, D’Amato CJ, Landis JR (1984) A descriptive study of neuritic plaques and neurofibrillary tangles in an autopsy population. Am J Epidemiol 120: 331–341PubMedGoogle Scholar
  22. 22.
    Blessed G (1984) Clinical features and neuropathological correlations of Alzheimer type disease. In: Kay DWK, Burrows GD (eds) Handbook of studies on psychiatry and old age. Elsevier, North Holland, pp 133–143Google Scholar
  23. 23.
    Nielsen J, Homma A, Björn-Henriksen T (1977) Follow-up 15 years after a gerontopsychiatric prevalence study. Conditions concerning death, causes of death and life expectancy in relation to psychiatric diagnosis. J Gerontol 32: 554–561PubMedGoogle Scholar
  24. 24.
    Bergmann K, Kay DWK, Foster E, McKechnie AA, Roth M (1971) A follow up study of randomly selected community residents to assess the effects of chronic brain syndrome and cerebrovascular disease. In: Psychiatry, part 2. Excerpta Medica International Congress Series no 274. Excerpta Medica, Amsterdam, pp 856–865Google Scholar
  25. 25.
    Gurland BJ (1981) The borderlands of dementia: the influence of sociocultural characteristics on rates of dementia in the senium. In: Miller NE, Cohen GD (eds) Clinical aspects of Alzheimer’s disease and senile dementia. Raven, New York, pp 61–80Google Scholar
  26. 26.
    Pfeiffer E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 23: 433–440PubMedGoogle Scholar
  27. 27.
    Clarke M, Clarke S, Odell A, Jagger C (1984) The elderly at home: health and social status. Health Trends 16: 3–7PubMedGoogle Scholar
  28. 28.
    Cooper B, Bickel H (1984) Population screening and the early detection of dementing disorders in old age. Psychol Med 14: 81–95PubMedCrossRefGoogle Scholar
  29. 29.
    World Health Organization (1982) World Health Stat Q 35: 3–4Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • D. W. K. Kay
    • 1
  1. 1.Prudhoe HospitalPrudhoe, NorthumberlandGreat Britain

Personalised recommendations