Prevalence and Correlates of Psychiatric Disorders among Older Adults

老年人精神疾病的患病率和相关性

• 批准号: 7195225
• 负责人: Scott Peter Novak
• 金额: $ 8.93万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-12-21 至 2008-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7195225
• 关键词: Address; Adolescence; Adult; Age; Aging; Alcohols; American; Americas; Anxiety; Anxiety Disorders; Binding; Biological; Censuses; Characteristics; Class; Clinical; Communities; Comorbidity; Condition; DSM-IV; Diagnostic; Disease; Education; Elderly; Employment; Event; Exhibits; Frequencies; Gender; Gray unit of radiation dose; Health; Incidence; Insurance Coverage; Intervention; Investigation; Late-Onset Disorder; Learning; Length; Marital Status; Measures; Medical; Mental Health; Mental disorders; Moods; Morbidity - disease rate; National Institute of Mental Health; Numbers; Pathway interactions; Patients; Pattern; Personal Satisfaction; Population; Prevalence; Preventive; Psychopathology; Race; Range; Relative (related person); Research; Research Personnel; Resources; Retirement; Sample Size; Sampling; Screening procedure; Specificity; Structure; Subgroup; Substance Use Disorder; Substance abuse problem; Surveys; Symptoms; United States; aged; base; disorder subtype; early onset disorder; experience; geriatric mental health; health care service utilization; late disease onset; multidisciplinary; psychosocial; trend

DESCRIPTION (provided by applicant): The "graying of America" represents an unprecedented demographic trend whereby the population of Americans aged 55 or older is increasing rapidly. Therefore, it is important to identify the mental health needs of older Americans as they move toward later life. By understanding the incidence, prevalence, correlates, and treatment needs of psychiatric disorders among older adults, researchers can make greater inroads to more efficiently direct limited preventive and treatment resources. Few investigations have an epidemiological sample of older adults to permit adequate estimation of the patterns and correlates of geriatric psychiatric disorders, including those disorders that are "sub-threshold" and do not meet established diagnostic criteria but may be extremely disabling. Physical illnesses, which may be extremely stressful psychosocial events, are also more present during older adulthood, and additional information is lacking regarding the onset of psychiatric disorders resulting from medical conditions. This RO3 application, submitted by a new investigator, seeks to overcome these limitations by bringing together an interdisciplinary team of epidemiological and clinical researchers to focus on geriatric mental health. This application proposes secondary analyses of the subset of older adults (n=13,420) within the National Epidemiologic Survey on Alcohol and Related Conditions (2001-2002) (NESARC) to examine the broader issues of incidence, prevalence, correlates, and treatment of mental disorders among older adults (aged 55 or older). The NESARC is unique because it contains comprehensive assessments of psychiatric disorders in a nationally representative sample of older adults. The specific aims are to: (1) Estimate the prevalence and demographic correlates (e.g., marital status, gender, race, employment, and education) of psychiatric mood and anxiety disorders during older adulthood (aged 55 or older) for the following the disorder subtypes: (a) independent of medical or substance abuse (IDs) and (b) medically induced disorders (MIDs); We will also examine subthreshold disorders within each disorder group. (2) Examine the demographic and clinical factors (e.g. symptom profile, number and length of episodes) that differentiate the structure of psychiatric disorder subtypes among older adults based on: (a) patterns of co-morbidity (e.g. pure versus co-morbid) and (b) early (i.e. less than age 55) versus late onset (i.e. age 55 or older) disorders; and (3) Estimate the patterns of treatment utilization among disorder subtypes. Information learned from this study will help assess the degree to which unique screening and intervention efforts are needed across disorder subtypes. Issues addressed in this proposal are in concert with the scientific agenda for mental health and aging research promoted by National Institute of Mental Health, Mental Illnesses in Older Adults (PA-03-014).

描述（由申请人提供）：“美国灰色”代表了前所未有的人口趋势，在该趋势中，55岁或55岁以上的美国人人口正在迅速增加。因此，重要的是要确定老年人朝着以后的生活发展时的心理健康需求。通过了解老年人精神疾病的发病率，患病率，相关和治疗需求，研究人员可以进行更大的侵害，以更有效地直接有限的预防和治疗资源。很少有调查对老年人进行流行病学样本，以允许对老年精神疾病的模式和相关性进行足够的估计，包括那些是“亚阈值”的疾病，并且不符合已建立的诊断标准，但可能是极其残疾。在较早的成年期间，身体疾病可能是极大压力的社会心理事件，并且缺乏有关医疗状况导致的精神疾病发作的其他信息。这项由新研究人员提交的RO3应用程序试图通过将流行病学和临床研究人员组成的跨学科团队汇总到老年医学心理健康上，以克服这些局限性。该申请提出了对酒精及相关条件的国家年期病态学调查（2001-2002）（NESARC）的次要分析（n = 13,420）（NESARC），以研究老年人中更广泛的发病率，患病，相关性，相关性和精神障碍的治疗（55岁或55岁）。 NESARC是独一无二的，因为它包含对全国代表性老年人样本中精神疾病的全面评估。具体目的是：（1）估计在年龄较大的成年期（55岁或更老）的精神情绪和焦虑症的婚姻状况，性别，种族，种族，就业和教育）（以下是疾病子类型）：（a）独立于医疗滥用（IDS）和（b）的（b）疾病（a）;我们还将检查每个疾病组中的亚阈值障碍。 （2）检查基于：（a）合并症的模式（例如，纯净的纯净与食用）和（b）早期（即比55岁的年龄较小）（即较早的55555555555555年），研究了老年人之间精神障碍亚型的结构的人口统计学和临床​​因素（例如症状和发作的数量和长度），以分化精神疾病障碍亚型的结构。 （3）估计疾病亚型之间治疗利用的模式。从这项研究中学到的信息将有助于评估跨疾病亚型需要独特的筛查和干预工作的程度。该提案中有关的问题与美国国家心理健康研究所（PA-03-014）的精神疾病研究所（PA-03-014）促进了心理健康和衰老研究的科学议程。