High Occurrence of Psychiatric Disorders and Suicidal Behavior Across Dementia Subtypes
| Autor: | Kristine Yaffe, Allison R. Kaup, Amy X. Lai, Amy L. Byers |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Lewy Body Disease
Male medicine.medical_specialty Databases Factual Substance-Related Disorders Suicide Attempted Comorbidity Suicide prevention Suicidal Ideation 03 medical and health sciences 0302 clinical medicine Alzheimer Disease mental disorders Prevalence medicine Humans Dementia Psychiatry Vascular dementia Veterans Affairs Aged Aged 80 and over 030214 geriatrics Mood Disorders business.industry Dementia Vascular Middle Aged medicine.disease Anxiety Disorders Mental health United States United States Department of Veterans Affairs Psychiatry and Mental health Mood Frontotemporal Dementia Anxiety Female Geriatrics and Gerontology medicine.symptom business 030217 neurology & neurosurgery Frontotemporal dementia |
| Zdroj: | The American Journal of Geriatric Psychiatry. 26:1191-1201 |
| ISSN: | 1064-7481 |
| Popis: | Objective To compare occurrence of clinically diagnosed psychiatric disorders and suicidal behavior (mental health disorders) across dementia subtypes in the largest healthcare system in the United States. Methods We aggregated two national databases (Department of Veterans Affairs [VA] National Patient Care Database, National Suicide Prevention Applications Network [SPAN]) and estimated 2-year prevalence of mental health disorders across five dementia subtypes during fiscal years 2012–2013. Using VA healthcare systems throughout the United States, the sample included 56,296 older patients (≥50 years) with Alzheimer's disease (AD; n = 30,578), vascular dementia (VD; n = 17,924), frontotemporal dementia (FTD; n = 1,181), Lewy body dementia (LBD; n = 3,194), and mixed dementia (MD; n = 3,419). Mental health disorders were determined by International Classification of Diseases, Ninth Revision, Clinical Modification codes and the National SPAN. Results Roughly 25% of patients had at least one mental health disorder, with 2-year prevalence reaching 30%–45% in FTD, VD, LBD, and MD. Compared with other subtypes, patients with FTD had the highest prevalence of mood (19%), anxiety (20%), and substance use (19%) disorders, as well as suicidal behavior (4%), with nearly 0.5% with a suicidal plan/attempt. Those with VD also showed a high prevalence of these disorders (14%–17%). Although patients with LBD and MD had a slightly lower prevalence of mood and anxiety disorders (12%–15%), they had a much lower prevalence of substance use disorders (9%) and suicidal behavior (2%). Patients with AD had the lowest 2-year prevalence of all mental health disorders ( Conclusion Occurrence of mental health disorders is high and differs across dementia subtypes, highlighting the importance of reducing the burden of mental health disorders in dementia subtypes. |
| Databáze: | OpenAIRE |
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