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Li J, Liu Z, Li M, Huang Y, Yin H, Xu G, Li L, Zhang T, Yan J, Yu Y, Xu X, Wang Z, Xu Y, Li T, Hou X, Xu X, Wang L, Yan Y, Xiao S, Du X, Li G. Associations of adverse childhood experiences with common psychiatric disorder in later life: results from the China mental health survey. BMC Geriatr 2023; 23:706. [PMID: 37907840 PMCID: PMC10619228 DOI: 10.1186/s12877-023-04421-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 10/19/2023] [Indexed: 11/02/2023] Open
Abstract
BACKGROUND Associations between adverse childhood experiences (ACEs) and common psychiatric disorders among older Chinese individuals have not been well reported. The objectives of this study are to examine the prevalence of ACEs and the associations of ACEs with common psychiatric disorders among older adults in China. METHODS The study used data from the China Mental Health Survey (CMHS), a nationally representative epidemiological survey, which used computer-assisted personal interviewing (CAPI), logistic regression models were used to examine community-based adult psychiatric disorders and associated risk factors. Finally, 2,317 individuals aged 60 years or over were included in the CMHS. The national prevalence of ACEs in older adults were estimated and logistic regression were used to analyse the association between ACEs and past-year psychiatric disorders. RESULTS Prevalence of ACEs among older adults in China was 18.1%. The three most common types of ACEs were neglect (11.6%), domestic violence (9.2%), and parental loss (9.1%). This study proved the association between ACEs and common past-year psychiatric disorders in older adults. ACEs increased the risk of past-year psychiatric disorders in older adults. After adjustment for age, sex, marital status, employment status, education, rural or urban residence, region, and physical diseases, the association between ACEs and past-year psychiatric disorders were still significant. CONCLUSIONS ACEs are linked to an increased risk for past-year psychiatric disorders in older adults. ACEs may have long-term effects on older adults' mental well-being. Preventing ACEs may help reduce possible adverse health outcomes in later life.
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Affiliation(s)
- Jinhao Li
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - Zhaorui Liu
- National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Institute of Mental Health), Peking University Sixth Hospital, Ministry of Health (Peking University), Beijing, China
| | - Minghui Li
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - Yueqin Huang
- National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Institute of Mental Health), Peking University Sixth Hospital, Ministry of Health (Peking University), Beijing, China
| | - Huifang Yin
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China.
| | - Guangming Xu
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China.
| | - Lingjiang Li
- Mental Health Institute, the Second Xiangya Hospital, Central-south University, Changsha, 410011, Hunan, China
| | - Tingting Zhang
- National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Institute of Mental Health), Peking University Sixth Hospital, Ministry of Health (Peking University), Beijing, China
| | - Jie Yan
- Institute of Social Science Survey, Peking University, Beijing, 100871, China
| | - Yaqin Yu
- Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
| | - Xiufeng Xu
- Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, 650032, China
| | - Zhizhong Wang
- Department of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan, Ningxia, 750004, China
| | - Yifeng Xu
- Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Tao Li
- Mental Health Centre of West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China
- Department of Psychiatry, Hangzhou Seventh People's Hospital, Hangzhou, 310013, Zhejiang, China
| | - Xiaofei Hou
- Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, China
| | - Xiangdong Xu
- The Fourth People's Hospital in Urumqi, Urumqi, 830002, China
| | - Limin Wang
- National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 100050, China
| | - Yongping Yan
- Department of Epidemiology, the Fourth Military Medical University, Xi'an, 710032, Shaanxi Province, China
| | - Shuiyuan Xiao
- Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha, 410078, Hunan, China
| | - Xiangdong Du
- Suzhou Guangji Hospital, Suzhou, 215008, Jiangsu, China
| | - Guohua Li
- Chifeng Anding Hospital, Chifeng, 024000, Inner Mongolia Autonomous Region, China
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Frisardi V, Pollorsi C, Sambati L, Macchiarulo M, Fabbo A, Neviani F, Menchetti M, Chattat R. The Italian Framework of Bipolar Disorders in the Elderly: Old and Current Issues and New Suggestions for the Geriatric Psycho-Oncology Research. Biomedicines 2023; 11:biomedicines11051418. [PMID: 37239089 DOI: 10.3390/biomedicines11051418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 04/28/2023] [Accepted: 05/09/2023] [Indexed: 05/28/2023] Open
Abstract
BACKGROUND Older adults with mood disorders constitute a heterogeneous group in a complex spectrum interlinked with physical comorbidities. Worldwide, Bipolar disorders in older people (OABD) remain underestimated and underdiagnosed. OABD is challenging in the clinical setting and is associated with adverse outcomes (increased risk of anti-social behaviour triggered by inappropriate drugs and increased incidence of health deficits, including cancer). This article aims to describe the state of the art of OABD in the Italian framework and provide a new field of research. METHODS We performed an overview of the literature, selecting our target population (over 65 years) and synthesising the main challenging issues. By exploiting the Italian database from the Minister of Health in 2021, we analysed epidemiological data in the age range 65-74 years and 75-84 years old. RESULTS Females showed the highest prevalence and incidence in both groups, with a regional difference across the country but more evident in the Autonomous Provinces of Bolzano and Trento for the 65-74 years range. Several projects recently focused on this topic, and the urgency to define better the epidemiological framework is mandatory. CONCLUSIONS This study represented the first attempt to report the comprehensive Italian framework on OABD aimed at fostering research activities and knowledge.
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Affiliation(s)
- Vincenza Frisardi
- Geriatric Unit Neuromotor Department, AUSL-IRCCS of Reggio Emilia, 80 Risorgimento Avenue Reggio Emilia, 46123 Reggio Emilia, Italy
| | - Chiara Pollorsi
- Geriatric Unit Neuromotor Department, AUSL-IRCCS of Reggio Emilia, 80 Risorgimento Avenue Reggio Emilia, 46123 Reggio Emilia, Italy
| | - Luisa Sambati
- U.O.C. Clinica Neurologica Rete Metropolitana (NeuroMet), IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy
| | - Maria Macchiarulo
- Acute Geriatrics and Orthogeriatrics and Cognitive Disorders and Dementia Center, IRCCS AOU-BO, 40138 Bologna, Italy
| | - Andrea Fabbo
- Geriatric Service, Cognitive Disorders and Dementia Unit, Health Authority and Services (AUSL) of Modena, 41124 Modena, Italy
| | - Francesca Neviani
- Geriatric Unit, Azienda Ospedaliera Universitaria Policlinico di Modena, 41124 Modena, Italy
| | - Marco Menchetti
- Department of Biomedical and NeuroMotor Sciences (DiBiNeM), University of Bologna, 40127 Bologna, Italy
| | - Rabih Chattat
- Department of Psychology, University of Bologna, 40127 Bologna, Italy
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Romaniello C, Romanazzo S, Cosci F. Clinimetric properties of the diagnostic criteria for psychosomatic research among the elderly. Clin Psychol Psychother 2023. [PMID: 36607260 DOI: 10.1002/cpp.2822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 12/23/2022] [Accepted: 12/28/2022] [Indexed: 01/07/2023]
Abstract
INTRODUCTION Among the elderly, the availability of tool assessing psychosomatic syndromes is limited. The present study aims at testing inter-rater reliability and concurrent validity of the semi-structured interview for the Diagnostic Criteria for Psychosomatic Research (DCPR-R-SSI) in the elderly of the general population. METHOD One hundred eight subjects were recruited. Participants received a clinical assessment which included the DCPR-R-SSI, the Illness Attitude Scale (IAS), the Geriatric Depression Scale (GDS), the Psychosocial Index (PSI), the Toronto Alexithymia Scale-20 (TAS-20). Analyses of inter-rater reliability of DCPR-R-SSI and concurrent validity between DCPR-R-SSI and self-administered questionnaires were conducted. RESULTS DCPR-R-SSI showed excellent inter-rater reliability with a percent of agreement of 90.7% (K Cohen: 0.856 [SE = 0.043], 95% CI: 0.77-0.94). DCPR-R demoralization showed fair concurrent validity with GDS; concurrent validity was also fair between DCPR-R Alexithymia and TAS-20, and between DCPR-R allostatic overload and PSI allostatic load, while the concurrent validity between DCPR-R Disease Phobia and IAS was moderate. CONCLUSION DCPR-R-SSI represents a reliable and valid tool to assess psychosomatic syndromes in the elderly. DCPR-R is in need of being implemented in the elderly clinical evaluation.
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Affiliation(s)
- Caterina Romaniello
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Sara Romanazzo
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Fiammetta Cosci
- Department of Health Sciences, University of Florence, Florence, Italy.,International Lab of Clinical Measurements, University of Florence, Florence, Italy.,Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands
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Mansueto G, Romanazzo S, Cosci F. Clinical utility of the Diagnostic Criteria for Psychosomatic Research for a comprehensive assessment of the elderly. Clin Psychol Psychother 2022; 29:1963-1971. [PMID: 35776097 DOI: 10.1002/cpp.2766] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 06/24/2022] [Accepted: 06/26/2022] [Indexed: 11/06/2022]
Abstract
INTRODUCTION According to the revised version of the Diagnostic Criteria for Psychosomatic Research (DCPR-R), this study explored the prevalence and clinical correlates of DCPR-R psychosomatic syndromes in the elderly and tested whether DCPR-R provide an incremental contribution to the prediction of psychosocial functioning over and above DSM-5. METHOD One hundred seven elderly subjects were recruited. Participants received a clinical assessment, which included the DCPR-Revised Semi-Structured Interview (DCPR-R SSI), the Structured Clinical Interview for DSM-5-Clinician Version (SCID-5-CV), the Psychological Well-Being (PWB) Scales, the Geriatric Anxiety Scale (GAS) and the Geriatric Depression Scale (GDS). Analyses of covariance (ANCOVA) and hierarchical regression analyses were run. RESULTS Twenty-two (20.6%) subjects had at least one DSM-5 diagnosis, and 62 (57.9%) reported at least one DCPR-R diagnosis. Subjects with at least one DCPR-R diagnosis showed lower PWB Personal Growth and PWB Purpose in Life than those without DCPR-R diagnoses. When the incremental validity of the DCPR-R was tested using PWB Personal Growth, PWB Purpose in Life, PWB Self-acceptance, GAS Cognitive symptoms and GAS affective symptoms subscales as criterion variable, the DCPR-R increased up to 0.135-0.263 the explained variance. CONCLUSION The DCPR-R might be implemented together with the DSM-5 to have a comprehensive assessment of elderly subjects.
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Affiliation(s)
- Giovanni Mansueto
- Department of Health Sciences, University of Florence, Florence, Italy.,Department of Psychology, Sigmund Freud University, Milan, Italy
| | - Sara Romanazzo
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Fiammetta Cosci
- Department of Health Sciences, University of Florence, Florence, Italy.,Department of Psychiatry & Neuropsychology, Maastricht University, Maastricht, The Netherlands
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vismoradi ‑Aineh H, Alipour A, Ramezankhani A, Shakeri J, Yarmohammadi S, Marashi T. Investigating the relationship between satisfaction of basic psychological needs, general health, and some background variables in the Iranian older adults: a cross-sectional study. BMC Psychiatry 2022; 22:372. [PMID: 35650584 PMCID: PMC9158081 DOI: 10.1186/s12888-022-03979-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/06/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Promoting the health and mental health (MH) of the older adults making up a large part of the world's population in the coming years can provide the necessary conditions for their health and well-being of them. This study aimed to investigate the relationship between the satisfaction of basic psychological needs (BPNs), general health (GH), and some variables in Iranian older adults. METHODS The present descriptive-correlational study was conducted on 780 older adults from Sarpol-e Zahab (Kermanshah) in 2019 including the study by multi-stage cluster random sampling. The data collection tool was BPNs satisfaction and GH questionnaire and a researcher-made questionnaire of individual and background information. Was used for data analysis using the SPSS version 16 program and descriptive statistics and tests Pearson correlation coefficient, chi-square test, independent-sample T-test, and multivariate linear regression. RESULTS In the present study, participating a total of 780 older adult men aged 73.0 ± 29.32 years. There was a significant relationship between the satisfaction of BPNs and GH (p < 0.001). Also, 41% of the older adults were in poor GH and 30% were high in BPNs. Multiple logistic regression showed that the BPNs, age, income satisfaction, weather, and war zone were strong predictors of GH. the adjusted R2 value of 0.55 shows that the model described 55% of changes in the GH score. CONCLUSION According to the findings of the study on the relationship between the satisfaction of BPNs and GH, providing insurance, social and economic support by developing health policies, creating supportive health environments, strengthening community action, and developing individual skills in the older adults can help improve their MH and that of the community.
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Affiliation(s)
- Hassan vismoradi ‑Aineh
- grid.411600.2School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Abbas Alipour
- grid.411623.30000 0001 2227 0923Community Medicine Department, Medical Faculty, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Ramezankhani
- grid.411600.2Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Jalal Shakeri
- grid.412112.50000 0001 2012 5829Department of Psychiatry, Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Soudabeh Yarmohammadi
- grid.411600.2Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Tayebeh Marashi
- School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Alves GS, Kumar S, Sudo FK. Editorial: The Interplay Between Long-Term Psychiatric Disorders and Age-Related Brain Changes. Front Psychiatry 2022; 13:898023. [PMID: 35573355 PMCID: PMC9099020 DOI: 10.3389/fpsyt.2022.898023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Accepted: 03/21/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Gilberto Sousa Alves
- Post-Graduation in Psychiatry and Mental Health (PROPSAM), Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
- Translational Psychiatry Research Group, Federal University of Maranhão, São Luís, Brazil
| | - Sanjeev Kumar
- Centre for Addiction and Mental Health, Toronto, ON, Canada
- Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Felipe Kenji Sudo
- D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil
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