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Diagnosis of mental illness in elderly people from ethnic minorities

Published online by Cambridge University Press:  02 January 2018

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From the 1991 census (Office of Population Censuses and Surveys, 1993) it is estimated that 5.9% of the total population of England and Wales belong to an ethnic minority, and that 3% of this ethnic minority population are aged 65 years and older. This compares with 17% aged 65 years and older in the indigenous population. Although the numbers of elderly people from ethnic minorities are small in absolute terms, these groups are growing rapidly, and mental health professionals working with elderly patients will increasingly need to be equipped with the necessary services and skills to meet their specific needs. The elderly ethnic minority population of the UK is extremely diverse; the largest groups originate from the Indian subcontinent and the Caribbean, but there are also significant communities of Chinese, Somali, Vietnamese, Eastern European, Mediterranean and Irish origin, all of which require consideration when planning and providing services, whatever their numbers. This diversity is also important when considering the various factors that influence the presentation and diagnosis of mental disorders in these groups.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1998 

References

Abas, M. (1996) Depression and anxiety among older Caribbean people in the UK: Screening, unmet need, and the provision of appropriate services. International Journal of Geriatric Psychiatry, 11, 377382.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Barker, J. (1984) Black and Asian Old People in Britain. Mitcham: Age Concern.Google Scholar
Bhatnagar, K. & Frank, J. (1997) Psychiatric disorders in elderly from the Indian subcontinent living in Bradford. International Journal of Geriatric Psychiatry, 12, 907912.Google Scholar
Bhugra, D. & Bhui, K. (1997) Cross-cultural psychiatric assessment. Advances in Psychiatric Treatment, 3, 103110.Google Scholar
Blakemore, K. & Boneham, M. (1994) Age, Race and Ethnicity: A Comparative Approach. Buckingham: Open University Press.Google Scholar
Brownlie, J. (1991) A Hidden Problem? Dementia Among Minority Ethnic Groups. Stirling: University of Stirling, Dementia Services Development Centre.Google Scholar
Chandra, V., Ganguli, M., Ratcliff, G. et al (1994) Studies of the epidemiology of dementia: Comparisons between developed and developing countries. Aging: Clinical and Experimental Research, 6, 307321.Google Scholar
Copeland, J. R., Dewey, M. E. & Henderson, M. E. et al (1976) A standardized assessment of the mental state and diagnoses in the elderly: GMS and AGECAT. Psychological Medicine, 19, 8999.Google Scholar
Dowd, J. J. & Bengston, V. L. (1978) Aging in minority populations – an examination of the double jeopardy hypothesis. Journal of Gerontology, 33, 427436.CrossRefGoogle ScholarPubMed
Ebden, P., Carey, O., Bhatt, A. et al (1988) The bilingual consultation. Lancet, i, 347.Google Scholar
Ebrahim, S., Patel, N., Coats, M. et al (1991) Prevalence and severity of morbidity among Gujarati Asian elders: a controlled comparison. Family Practice, 8, 5762.Google Scholar
Farooq, S., Gahir, M. S., Okyere, E. et al (1995) Somatization: a transcultural study. Journal of Psychosomatic Research, 39, 883888.Google Scholar
Folstein, M. F., Folstein, S. E., McHugh, P. R. et al (1975) Minimental state – a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.CrossRefGoogle Scholar
Ganguli, M., Ratcliff, G., Chandra, V. et al (1995) A Hindi version of the MMSE: the development of a cognitive screening instrument for a largely illiterate rural elderly population in India. International Journal of Geriatric Psychiatry, 10, 367377.Google Scholar
Greenberg, D. & Witzum, E. (1991) Problems in the treatment of religious patients. American Journal of Psychotherapy, 45, 554.CrossRefGoogle ScholarPubMed
Hopkins, A. & Bahl, V. (1993) Access to Care for People from Black and Ethnic Minorities. London: Royal College of Physicians.Google Scholar
Katzman, R., Zhang, M., Qu, Q-Y et al (1988) A Chinese version of the Mini-Mental State Examination: Impact of illiteracy in a Shanghai dementia survey. Journal of Clinical Epidemiology, 41, 971978.Google Scholar
Kleinman, A. (1977) Depression, somatisation and the ‘new cross-cultural psychiatry’. Social Science and Medicine, 11, 310.Google Scholar
Kleinman, A. (1987) Anthropology and psychiatry: the role of culture in cross-cultural research on illness. British Journal of Psychiatry, 151, 447454.CrossRefGoogle ScholarPubMed
Lindesay, J., Jagger, C., Hibbett, M. et al (1997a) Knowledge, uptake and availability of health and social services among Asian Gujarati and white elders. Ethnicity and Health, 2, 5969.Google Scholar
Lindesay, J., Jagger, C., Mlynik-Szmid, A. et al (1997b) The Mini-Mental State Examination (MMSE) in an elderly immigrant Gujarati population in the United Kingdom. International Journal of Geriatric Psychiatry, 12, 11551167.3.0.CO;2-E>CrossRefGoogle Scholar
McCracken, C. F. M., Boneham, M. A., Copeland, J. R. M. et al (1997) Prevalence of dementia and depression among elderly people in Black and ethnic minorities. British Journal of Psychiatry, 171, 269273.Google Scholar
Manson, S. M. (1995) Culture and major depression: Current challenges in the diagnosis of mood disorders. Psychiatric Clinics of North America, 18, 487501.CrossRefGoogle ScholarPubMed
Manthorpe, J. & Hettiaratchy, P. (1993) Ethnic minority elders in the UK. International Review of Psychiatry, 5, 171178.Google Scholar
Mumford, D. B. (1993) Somatisation: a transcultural perspective. International Review of Psychiatry, 5, 231242.Google Scholar
Norman, A. (1985) Triple Jeopardy: Growing Old in a Second Homeland. London: Centre for Policy on Ageing.Google Scholar
Office of Population Censuses and Surveys (1993) Census: Ethnic Group and Country of Birth. London: HMSO.Google Scholar
Osuntokun, B. O., Adeuja, A. O. G., Schoenberg, B. S. et al (1987) Neurological disorder in Nigerian Africans: a community-based study. Acta Neurologica Scandinavica, 75, 1321.Google Scholar
Patel, N. (1990) A ‘Race’ Against Time: Social Services Provision to Black Elders. London: Runnymede Trust.Google Scholar
Pollitt, P. A. (1996) Dementia in old age: an anthropological perspective. Psychological Medicine, 26, 10611074.CrossRefGoogle ScholarPubMed
Raleigh, V. S., Bulusu, L. & Balarajan, R. (1990) Suicide among immigrants from the Indian subcontinent. British Journal of Psychiatry, 156, 4650.Google Scholar
Redelinghuys, J. & Shah, A. (1997) The characteristics of ethnic elders from the Indian subcontinent using a geriatric psychiatry service in West London. Aging and Mental Health, 1, 243247.CrossRefGoogle Scholar
Schweder, R. & Bourne, E. (1984) Does the concept of the person vary cross-culturally? In Culture Theory: Essays on Mind, Self and Emotion (eds Schweder, R. & LeVine, R.) pp. 158199. Cambridge, MA: Cambridge University Press.Google Scholar
Silveira, E. & Ebrahim, S. (1995) Mental health and health status of elderly Bengalis and Somalis in London. Age and Ageing, 24, 474480.Google Scholar
Soloman, A. (1992) Clinical diagnosis among diverse populations: a multicultural perspective. Families in Society: The Journal of Contemporary Human Service, 42, 371377.Google Scholar
Tombaugh, T. N. & McIntyre, N. J. (1992) The Mini-Mental State Examination: a comprehensive review. Journal of the American Geriatrics Society, 40, 922935.Google Scholar
Williams, R. (1993) Health and length of residence among South Asians in Glasgow: a study controlling for age. Journal of Public Health Medicine, 15, 5260.Google Scholar
White, L. R. (1992) Towards a program of cross-cultural research on the epidemiology of Alzheimer's disease. Current Science, 63, 456469.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
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