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The Scale of the Problem

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Dementia

Abstract

The scale of the problem, in other words, the number of people who suffer from dementia is a complex question. The answers depend on the definition of dementia, the method of measurement and the composition of the population in which dementia is to be measured.

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References

  • Bassett, S.S. and Folstein, M.F. (1991) Cognitive impairment and functional disability in the absence of psychiatric diagnosis. Psychol. Med, 21, 77–84.

    Article  PubMed  CAS  Google Scholar 

  • Ben-Arie, O., Schwartz, L., Teggin, A.F. and Elk, R. (1983) The coloured elderly in Cape Town — a psychosocial, psychiatric and medical community survey. S. Afr. Med. J, 65, 1056–61.

    Google Scholar 

  • Blessed, G. and Wilson, I.D. (1982) The contemporary natural history of mental disease in old age. Br. J. Psychiatry, 141, 59–67.

    Article  PubMed  CAS  Google Scholar 

  • Brayne, C. and Calloway, P. (1989) An epidemiological study of dementia in a rural population of elderly women. Br. J. Psychiatry, 155, 214–19.

    Article  PubMed  CAS  Google Scholar 

  • Clarfield, A.M. (1988) The reversible dementias: do they reverse ? Ann. Intern. Med., 109, 476–86.

    Article  PubMed  CAS  Google Scholar 

  • Clarke, M., Lowry, R. and Clarke, S. (1986) Cognitive impairment in the elderly — a community survey. Age Ageing, 15, 278–84.

    Article  PubMed  CAS  Google Scholar 

  • Cooper, B. and Bickel, H.,(1984) Population screening and the early detection of dementing disorders in old age: a review. Psychol. Med., 14, 81–95.

    Google Scholar 

  • Copeland, J.R.M. (1990) Commentary: Suitable instruments for detecting dementia in community samples. Age Ageing, 19, 81–3.

    Article  PubMed  CAS  Google Scholar 

  • Copeland, J.R.M. and Wilson, K.C.M. (1989) Rating scales in old age psychiatry. In The Instruments of Psychiatric Research (ed. C. Thompson ), John Wiley and Sons Ltd Chp. 13.

    Google Scholar 

  • Copeland, J.R.M., Kelleher, M.J., Kellett, J.M. et al. (1976) A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental State Schedule I. Psychol. Med., 6, 439–49.

    Article  PubMed  CAS  Google Scholar 

  • Copeland, J.R.M., Dewey, M.E. and Griffiths-Jones, H.M. (1986) GMS and Agecat. A computerised psychiatric diagnostic system and case nomenclature for elderly subjects. Psychol. Med., 16, 89–99.

    Article  PubMed  CAS  Google Scholar 

  • Copeland, J.R.M., Gurland, B.J., Dewey, M.E. et al. (1987a) Is there more dementia, depression and neuroses in New York ? Br. J. Psychiatry, 151, 466–73.

    Article  PubMed  CAS  Google Scholar 

  • Copeland, J.R.M., Dewey, M.E., Wood, N. et al. (1987b) Range of mental illness among the elderly in the community — prevalence in Liverpool using the GMS-Agecat package. Br. J. Psychiatry, 150, 815–23.

    Article  PubMed  CAS  Google Scholar 

  • Essen-Moller, E., Larsson, H., Uddenberg, C.E. and White, G. (1956) Individual Traits and Morbidity in a Swedish Rural Population, Copenhagen.

    Google Scholar 

  • Folstein, M.F., Folstein, S.E. and McHugh, P.R. (1975) Mini-mental State’. A practical method for grading the cognitive state of patients for the clinician. J. Psychiatr. Res, 12, 189–98.

    Article  PubMed  CAS  Google Scholar 

  • Folstein, M., Anthony, J.C., Parhad, I. et al. (1985) The meaning of cognitive impairment in the elderly. J. Am. Geriatr. Soc., 33, 222–35.

    Google Scholar 

  • Griffiths, R.A., Good, W.R., Watson, N.P. et al. (1987) Depression, dementia and disability in the elderly. Br. J. Psychiatry, 150, 482–93.

    Article  PubMed  CAS  Google Scholar 

  • Gurland, B.J., Fleiss, J.L., Goldberg, K. et al. (1976) A semi-structural clinical interview for the assessment and diagnosis of mental state in the elderly: The Geriatric Mental State Schedule II. Psychol. Med., 6, 444–59.

    Article  Google Scholar 

  • Gurland, B.J., Copeland, J.R.M., Kuriansky, J. et al. (1983) Mental health problems of the community elderly in New York and London. In Mind and Mood of Aging, Haworth Press, New York and Croom Helm, London.

    Google Scholar 

  • Hachinski, V.C., Lassen, N.A. and Marshell, J. (1974) Multi-infarct dementia — cause of mental deterioration in the elderly. Lancet, ii, 207–10.

    Google Scholar 

  • IIiffe, S., Booroff, A., Gallivan, S. et al. (1990) Screening for cognitive impairment in the elderly using the minimental state examination. Br. J. Gen. Pract., 40, 277–9.

    Google Scholar 

  • Jorm, A.F. and Jacomb, P.A. (1989) The informant questionnaire of cognitive decline in the elderly (IQCODE): Sociodemographic correlates, reliability, validity and some norms. Psychol. Med, 19, 1015–22.

    Article  PubMed  CAS  Google Scholar 

  • Jorm, A.F., Korten, A.E. and Henderson, A.S. (1987) The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatr. Scand., 76, 465–79.

    CAS  Google Scholar 

  • Kay, D.W.K., Beamish, P. and Roth, M. (1964) Old age mental disorder in Newcastle upon Tyne. Br. J. Psychiatry, 110, 146–58.

    Article  PubMed  CAS  Google Scholar 

  • Kay, D.W.K., Henderson, A.S., Scott, R. et al. (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, 771–8.

    Article  PubMed  CAS  Google Scholar 

  • Kokmen, E., Okazaki, H. and Schoenberg, B.S. (1980) Epidemiological patterns and clinical features of dementia in a defined US population. Trans. Am. Neurol. Assoc., 105, 334–6.

    Google Scholar 

  • Launer, L.J. Overview of incidence studies of dementia conducted in Europe. Neuroepidemiology (in press).

    Google Scholar 

  • Li, G., Shen, Y.C., Chen, C.H. et al. (1989) An epidemiological survey of age-related dementia in an urban area of Beijing. Acta Psychiatr. Scand., 79, 557–63.

    CAS  Google Scholar 

  • Lindesay, J Briggs, K. and Murphy, E. (1989) The Guy’s/Age concern survey. Prevalence rates of cognitive impairment, depression and anxiety in an urban elderly community. Br. J. Psychiatry,155 317–29.

    Google Scholar 

  • Livingston, G., Hawkins, A., Graham, N. et al (1990a) The Gospel Oak Study: Prevalence rates of dementia, depression and activity limitation among elderly community residents in Inner London. Psychol. Med, 20, 137–46.

    Article  PubMed  CAS  Google Scholar 

  • Livingston, G., Sax, K., Willison, J. et al. (1990b) The Gospel Oak Study Stage II: The diagnosis of dementia in the community. Psychol. Med., 20, 881–91.

    Article  PubMed  CAS  Google Scholar 

  • McKhann, G., Drachman, D., Folstein, M. et al. (1984) Clinical diagnosis of Alzheimer’s disease. Report of the NINCDS-ADRDA work group. Neurology, 34, 939–44.

    Article  PubMed  CAS  Google Scholar 

  • Marsden, C.D. and Harrison, M.J.G. (1972) Outcome of investigation of patients with pre-senile dementia. Br. Med. J., 2, 249–52.

    Article  PubMed  CAS  Google Scholar 

  • Morgan, K., Dallosso, H.M., Arie, T. et al. (1987) Mental health and psychological well-being among the old and very old living at home. Br. J. Psychiatry, 150, 801–7.

    Article  PubMed  CAS  Google Scholar 

  • Mowry, B.J. and Burvill, P.W. (1988) A study of mild dementia in the community using a wide range of diagnostic criteria. Br. J. Psychiatry, 153, 328–34.

    Article  PubMed  CAS  Google Scholar 

  • O’Connor, D.W., Pollitt, P.A., Hyde, J.B. et al. (1988) Practice observed — do general practitioners miss dementia in elderly patients. Br. Med. J., 297, 1107–10.

    Article  Google Scholar 

  • O’Connor, D.W., Pollitt, P.A., Hyde, J.B. et al. (1989a) The prevalence of dementia as measured by the Cambridge mental disorders of the elderly examination. Acta Psychiatr. Scand., 79, 190–8.

    Google Scholar 

  • O’Connor, D.W., Pollitt, P.A., Hyde, J.B. et al. (1989b) The reliability and validity of the minimental state in a British community survey. J. Psychiatr. Res., 23, 87–96.

    Article  PubMed  Google Scholar 

  • Pfeffer, R.I., Afifi, A.A. and Chance, J.M. (1987) Prevalence of Alzheimer’s disease in a retirement community. Am. J. Epidemiol., 125, 420–36.

    PubMed  CAS  Google Scholar 

  • Primrose, E.J.R. (1962) Psychological Illness: A Community Study, London.

    Google Scholar 

  • Rocca, W., Bonaiuto, S., Lippi, A. et al (1990) Prevalence of clinically diagnosed Alzheimer’s disease and other dementing diseases: a door to door survey in Appignano, Macareta Province, Italy. Neurology, 40, 626–31.

    Article  PubMed  CAS  Google Scholar 

  • Rose, G. (1989) Mental health of populations. In The Scope of Epidemiological Psychiatry (eds P. Williams, G. Wilkinson and K. Rounley ), Routledge.

    Google Scholar 

  • Roth, M., Tym, E., Mountjoy, C.Q. et al (1986) Camdex — A standardised instrument for the diagnosis of mental disorder in the elderly with special reference to the early detection of dementia. Br. J. Psychiatry, 149, 648–709.

    Article  Google Scholar 

  • Sayetta, R.B. (1986) Rates of senile dementia—Alzheimers type in the Baltimore longitudinal study. J. Chronic Dis, 394, 271–86.

    Article  Google Scholar 

  • Schoenberg, B.S., Anderson, D.W. and Haerer, A.F. (1985) Severe dementia. Prevalence and clinical features in a biracial US population. Arch. Neurol., 42, 740–3.

    Article  PubMed  CAS  Google Scholar 

  • Shibayama, H., Kashoa, Y., Kobayashi, H. et al. (1986) Prevalence of dementia in a Japanese elderly population. Acta Psychiatr. Scand., 74, 144–51.

    CAS  Google Scholar 

  • ten Horn, G.H.M.M. (1985) The elderly in the mental health services of twenty-one European pilot study areas. Acta Psychiatr. Scand., 72, 188–92.

    Google Scholar 

  • Tomlinson, B.E., Blessed, G. and Roth, H. (1970) Observations on the brains of demented old people. J. Neurol. Sci, 11, 205–42.

    Article  PubMed  CAS  Google Scholar 

  • Zhang, M., Katzman, R., Salman, D. et al (1990) The prevalence of dementia and Alzheimer’s disease in Shanghai, China: Impact of age, gender and education. Ann. Neurol, 27, 428–37.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. G. Livingston
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Editors and Affiliations

  1. University of Manchester, UK

    Alistair Burns (Professor of Old Age Psychiatry) (Professor of Old Age Psychiatry)

  2. Institute of Psychiatry, London, UK

    Raymond Levy (Professor of Old Age Psychiatry) (Professor of Old Age Psychiatry)

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© 1994 Springer Science+Business Media Dordrecht

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Livingston, G. (1994). The Scale of the Problem. In: Burns, A., Levy, R. (eds) Dementia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6805-6_2

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  • DOI: https://doi.org/10.1007/978-1-4615-6805-6_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-6807-0

  • Online ISBN: 978-1-4615-6805-6

  • eBook Packages: Springer Book Archive

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