Title: Prevalence of psychotic symptoms among older adults in an Asian population
year: 2016
Journal: Int Psychogeriatr
Volume: 28
Issue: 7
Pages: 1211-20
Epubdate: 15/03/2016
date: Jul
Alternate Journal: International psychogeriatrics
ISSN: 1041-6102
Article Number: 26972508
Keywords: Asian delusions geriatric mental state examination hallucinations psychosis
Abstract: BACKGROUND: Psychotic symptoms are common among older adults and are seen in a wide range of conditions. Most studies examining the prevalence and correlates of psychotic symptoms among older adults have been conducted in Western populations. To address this gap the current study was undertaken to establish the prevalence and correlates of psychotic symptoms and paranoid ideation within a community sample of older adults without dementia in an Asian population. METHODS: The Well-being of the Singapore Elderly (WiSE) study was a comprehensive single phase, cross-sectional survey. All respondents were assessed using the Geriatric Mental State examination (GMS). Specific questions of the GMS were then used to establish the prevalence of hallucinations and persecutory delusions. RESULTS: A total of 2,565 respondents completed the study giving a response rate of 65.6%. The prevalence of any psychotic symptoms in this population of older adults was 5.2%. The odds of hallucinations and any psychotic symptoms were significantly higher among those of Malay ethnicity, and those who had no formal education. Older adults aged 75-84 years were significantly associated with lower odds of having hallucinations (vs. older adult aged 60-74 years), while homemaker status was significantly associated with lower odds of having any psychotic symptoms. CONCLUSIONS: The prevalence of psychotic symptoms among older Asian adults without dementia was higher than that reported from Western countries. Psychotic symptoms were associated with Malay ethnicity, poor cognitive performance and fewer years of schooling, visual and hearing impairment as well as depression and irritability.
Notes: 1741-203x Subramaniam, Mythily Abdin, Edimansyah Vaingankar, Janhavi Picco, Louisa Shahwan, Shazana Jeyagurunathan, Anitha Zhang, Yunjue Verma, Swapna Chong, Siow Ann Journal Article England Int Psychogeriatr. 2016 Jul;28(7):1211-20. doi: 10.1017/S1041610216000399. Epub 2016 Mar 14.
URL: https://www.cambridge.org/core/journals/international-psychogeriatrics/article/div-classtitleprevalence-of-psychotic-symptoms-among-older-adults-in-an-asian-populationdiv/8C4B3CE6F9CCA255D16D3EB0054D46D6
URI: https://open-access.imh.com.sg/handle/123456789/5076
Authors Address: Research Division,Institute of Mental Health,Singapore. Department of Early Psychosis Intervention,Institute of Mental Health,Singapore.
Database Provider: NLM
language: eng
Appears in Collections:2016

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