Psychiatric disorders in elderly from the Indian sub-continent livingin Bradford
K. Bhatnagar
Bok Engelsk 1997
| Utgitt | 1997
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|---|---|
| Omfang | Side 907- 912
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| Opplysninger | In our community study of the prevalence of psychiatric disordersamong elderly South Asian immigrants from the Indian sub-continent(India, Pakistan and Bangladesh) living in Bradford (UK), we founddepression in 20%, dementia in 4% and anxiety neurosis in 4%.Subjects were interviewed at their place of residence by a consultantpsychiatrist familiar with their culture and language. The Hinditranslation of the community version of the Geriatric Mental Stateschedule (GMS-A) was also administered. Psychiatrist's ICD-9diagnosis was compared with GMS-AGECAT computerized diagnosis. Wefound low-level agreement in dementia cases (kappa 0.33) whereas theagreement in subjects with depression was high (kappa 0.81). In manysubjects GMS-A made a diagnosis of dementia not diagnosed as cases bythe psychiatrist, who had the benefit of additional historyinformation from carers in this population from a different cultureand educational background. These findings are discussed along withsuggestions and present limitations of GMS-A in the diagnosis ofdementia in cross-cultural research. Larger studies are needed inthis population (a) to find out prevalence rates in countries oforigin and (b) to investigate the author's (KB) observation of lowrates of Alzheimer's type dementia in this population, which may haveaetiological significance. (C) 1997 John Wiley & Sons, Ltd.
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| Emner |
