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Measuring the Rising Tide

How Many Dementia Cases will there be by 2001?

Published online by Cambridge University Press:  02 January 2018

B. Ineichen*
Affiliation:
Newham Health Authority, 1 Helena Road, Plaistow, London E13 0DZ

Abstract

Numerous surveys have attempted to estimate the prevalence of dementia. Despite difficulties of measurement, evidence suggests figures may be lower than is generally realised. Factors which are likely to affect prevalence rates are discussed. Forthcoming changes in the demography of old age indicate that increases in the prevalence of dementia may have been seriously underestimated.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Adolfsson, R. (1981) Prevalence of dementia disorders in institutionalised Swedish old people. Acta Psychiatrica Scandinavica, 63, 225244.CrossRefGoogle ScholarPubMed
Arie, T. & Jolley, D. (1982) Making services work: Organisation and style of psychogeriatric services. In The Psychiatry of Late Life, (eds R. Levy & F. Post). Oxford: Blackwell.Google Scholar
Bergmann, K. (1985) Epidemiological aspects of dementia and considerations in planning services. Danish Medical Bulletin, 32 (Suppl. 1), 8491.Google ScholarPubMed
Bergmann, K. & Jacoby, R. (1983) The limitations and possibilities of community care for the elderly demented, in D.H.S.S., Elderly People in The Community: Their Service Needs London: HMSO.Google Scholar
Bergmann, K., Proctor, S. & Prudham, D. (1979) Symptom profiles in hospital and community resident elderly persons with dementia. In Bayer-Symposium 7, Brain Function in Old Age, Heidelberg: Springer-Verlag.Google Scholar
Blazer, D. G. (1980) The epidemiology of mental illness in late life. In Handbook of Geriatric Psychiatry, (eds E. W. Busse & D. G. Blazer). New York: Van Nostrand Rheinhold.Google Scholar
Bollerup, T. R. (1975) Prevalence of mental illness among 70-year-olds domiciled in nine Copenhagen suburbs. Acta Psychiatrica Scandinavica, 51, 327339.Google Scholar
Broe, G. A., Akhtar, A. J., Andrews, G. R., Caird, F. I., Gilmore, A. J. J. & McLennan, W. J. (1976) Neurological diagnosis in the elderly at home. Journal of Neurology, Neurosurgery & Psychiatry, 39, 362366.Google Scholar
Campbell, A. J., McCosh, L. M., Reinken, J. & Allan, B. C. (1983) Dementia in old age and the need for services. Age & Ageing, 12, 1116.CrossRefGoogle ScholarPubMed
Charatan, F. B. (1984) Mental stimulation and deprivation as risk factors in senility. In Risk Factors in Senility, (ed. H. Rothschild). New York: Oxford University Press.Google Scholar
Christie, A. B. (1985) Survival in dementia: a review. In Recent Advances in Psychogeriatrics 1 (ed. T. Arie) Edinburgh: Churchill Livingstone.Google Scholar
Clarke, M., Clarke, S., Odell, A. & Jagger, C. (1984) The elderly at home: Health and social status. Health Trends, 16, 37.Google ScholarPubMed
Clarke, M., Lowry, R. & Clarke, S. (1986) Cognitive impairment in the elderly: a community survey. Age A Ageing, 15, 278284.Google Scholar
Cooper, B. (1984) Home & away: The disposition of mentally ill old people in an urban population. Social Psychiatry, 19, 187196.CrossRefGoogle Scholar
Cooper, B. & Bickel, H. (1984) Population screening and the early detection of dementing disorders in old age: A review. Psychological Medicine, 14, 8195.CrossRefGoogle ScholarPubMed
Cooper, B. & Sosna, U. (1983) Psychische Erkrankung in der Alteberolberung, Eine epidemiologische feltstudie in Mannheim. Nervenarzt, 54, 239249.Google Scholar
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Gourlay, A. J., Gurland, B. J., Fleiss, J. L. & Sharpe, L. (1976) A semi-structured clincal interview for the assessment of diagnosis and mental state in the elderly: The Geriatric Mental State Schedule. I. Development and reliability. Psychological Medicine, 6, 439449.CrossRefGoogle Scholar
Davis, D. R. (1984) Introduction to Psychopathology, 4th edn. Oxford: Oxford University Press.Google Scholar
Diesfeldt, H. F. A. (1986) Duration of survival in dementia. Acta Psychiatrica Scandinavica, 73, 366371.Google Scholar
Eastwood, P. & Corbin, S. (1985) Epidemiology of mental disorders in old age. In Recent Advances in Psychogeriatrics 1 (ed. T. Arie) Edinburgh: Churchill Livingstone.Google Scholar
Gardner, A. (1984) The assessment of dementia. In Current Themes in Psychiatry, Vol. 3. (eds R. N. Gaind et al) London: Spectrum.Google Scholar
Gilleard, C. J. (1984) Living With Dementia, London: Croom Helm.Google Scholar
Gilmore, A. J. J. (1977) Brain failure at home. Age & Ageing, 6 (suppl.), 5660.Google Scholar
Gruenberg, E. M. (1978) Epidemiology of senile dementia. In Neurological Epidemiology: Principles and Clinical Applications, (ed. B. S. Schoenberg). New York: Raven Press.Google Scholar
Gruer, R. (1975) Needs of the Elderly in the Scottish Borders, Edinburgh: Scottish Home & Health Department.Google Scholar
Gurland, B. (1980) The assessment of the mental status of older adults. In Handbook of Mental Health & Aging (eds J. E. Birren & R. B. Sloane). Englewood Cliffs: Prentice-Hall.Google Scholar
Gurland, B. (1981) The borderlands of dementia, In (eds N. Miller and G. Cohen) Clinical Aspects of Alzheimer's Disease. Ageing, 15, 6180.Google Scholar
Gurland, B. & Cross, P. S. (1982) The epidemiology of psychopathology in old age, in Psychiatric Clinics of North America. Aging, 5 (1), 1126.Google Scholar
Gurland, B., Copeland, J., Kuriansky, J., Kelleher, M., Sharpe, L. & Dean, L. L. (1983) The Mind and Mood of Aging: Mental Health Problems of the Community Elderly in New York and London, London: Croom Helm.Google Scholar
Hagnell, O., Lanke, J., Horsman, B. & Ojesjo, L. (1981) Does the incidence of age psychosis increase? Neuropsychobiology, 7, 201211.CrossRefGoogle Scholar
Hare, M. (1978) Clinical check-list for diagnosis of dementia. British Medical Journal, 266268.Google Scholar
Health Advisory Service (1982) The Rising Tide: Developing Services for Mental Illness in Old Age, Sutherland House, Sutton, Surrey, SM2 5AN.Google Scholar
Helgason, L. (1977) Psychiatric services and mental illness in Iceland. Acta Psychiatrica Scandinavica, (suppl.) 268.Google Scholar
Helgason, T. (1973) Epidemiology of mental disorder in Iceland: A geriatric follow-up. Excerpta Medica International Congress Series, 274, 350357.Google Scholar
Henderson, A. S. (1983) The coming epidemic of dementia, Australian and New Zealand Journal of Psychiatry, 17,117127.Google Scholar
Henderson, A. S. & Huppert, F. A. (1984) The problem of mild dementia. Psychological Medicine, 14, 511.Google Scholar
Henderson, A. S. & Kay, D. W. K. (1984) The Epidemiology of Mental Disorders in old age. In Handbook of Studies on Psychiatry & Old Age, (eds D. W. Kay & G. D. Burrows). Amsterdam: Elsevier.Google Scholar
Heston, L. L., Mastri, A. R., Anderson, E. & White, J. (1981). Dementia of the Alzheimer Type: Clinical genetics, natural history and associated conditions. Archives of General Psychiatry, 38, 10851090.CrossRefGoogle ScholarPubMed
Jarvik, L. F. & Falek, A. (1963) Intellectual stability and survival in the aged. Journal of Gerontology, 18, 173179.CrossRefGoogle ScholarPubMed
Jorm, A. F. & Henderson, A. S. (1985) Possible improvements to the diagnostic criteria for dementia in DSM-III. British Journal of Psychiatry, 147, 394399.Google Scholar
Kay, D. W. K. & Bergmann, K. (1980) Epidemiology of mental disorders among the aged in the community. In Handbook of Mental Health and Ageing, (eds J. E. Birren & R. B. Sloane). Englewood Cliffs: Prentice Hall.Google Scholar
Kay, D. W. K., Beamship, P. & Roth, M. (1964) Old age mental disorders in Newcastle on Tyne. Part I, a Study of prevalence. Part II. A study of possible social and medical causes. British Journal of Psychiatry, 110, 146158; 668–682.Google Scholar
Kay, D. W. K., Foster, E. M., McKechnie, A. A. & Roth, M. (1970) Mental illness and hospital usage in the elderly: A random sample followed up. Comprehensive Psychiatry, 11, 2635.Google Scholar
Kay, D. W. K., Henderson, A. S., Scott, R., Wilson, J., Rickwood, D. & Grayson, D. A. (1985) Dementia and depression among elderly living in the Hobart community: the effect of diagnostic criteria on the prevalence rates. Psychological Medicine, 15, 771788.Google Scholar
Larsson, T., Sjogren, T. & Jacobson, G. (1963) Senile dementia: A clinical, socio-medical and genetic study. Acta Psychiatrica Scandinavica, (suppl.) 167, 1259.Google Scholar
Mahendra, B. (1984) Dementia: A Survey of the Syndrome of Dementia, Lancaster: MTP Press.Google Scholar
Maule, M., Milne, J. S. & Williamson, J. (1984) Mental illness and physical health in older people. Age & Ageing, 13, 349356.CrossRefGoogle ScholarPubMed
McCarthy, M. (1982) Epidemiology and Policies for Health Planning, London: King's Fund.Google Scholar
Miller, E. (1984) Epidemiology. In Dementia: A Clinical Approach, (ed. J. M. S. Pearce). Oxford: Blackwell.Google Scholar
Molsa, P. K., Martila, A. R. J. & Rinne, U. K. (1982) Epidemiology of dementia in a Finnish population. Acta Neurologica Scandinavica, 65, 541552.Google Scholar
Mortimer, J. A. (1983) Alzheimer's disease and senile dementia: Prevalence and incidence. In Alzheimer's Disease, (ed. B. Reisberg). Glencoe: Free Press.Google Scholar
Mortimer, J. A., Schuman, L. M. & French, L. R. (1981) Epidemiology of dementing illness. In The Epidemiology of Dementia, (eds J. A. Mortimer & L. M. Schuman). New York: Oxford University Press.Google Scholar
Murphy, E. (1982) The social origins of depression in old age. British Journal of Psychiatry, 141, 135142.Google Scholar
Nilsson, L. V. (1983) Prevalence of mental disorders in a 70-year-old urban sample: A cohort comparison. Journal of Clinical A Experimental Gerontology, 5 (2), 101120.Google Scholar
Norman, A. (1982) Mental Illness in Old Age: Meeting the Challenge, London: Centre for Policy on Ageing.Google Scholar
Office of Health Economics (1979) Dementia in Old Age. London: OHE.Google Scholar
Office of Population Censuses (1985) Social Trends 15.Google Scholar
Parsons, P. L. (1965) Mental health of Swansea's old folk. British Journal of Preventive A Social Medicine, 19, 43.Google Scholar
Pattie, A. H. & Gilleard, C. J. (1979) Manual of the Clifton Assessment Procedures for the Elderly, Kent: Hodder & Stoughton.Google Scholar
Persson, G. (1980) Prevalence of mental disorders in a 70-year-old urban population. Acta Psychiatrica Scandinavica, 62, 119139.Google Scholar
Pitt, B. (1982) Psychogeriatrics: An introduction to the Psychiatry of Old Age, 2nd edn. Edinburgh: Churchill Livingstone.Google Scholar
Roth, M. (1985) Some strategies for tackling the problems of senile dementia and related disorders within the next decade. Danish Medical Bulletin, 32 (Suppl 1), 92111.Google Scholar
Roth, M. & Mountjoy, C. Q. (1980) Mental Health Services for the Elderly Living in the Community: a UK perspective. International Journal of Mental Health, 8, 635.Google Scholar
Shibayama, H., Kasahara, Y., Kobayashi, H. et al (1986) Prevalence of dementia in a Japanese elderly population. Acta Psychiatrica Scandinavica, 74, 144151.Google Scholar
Shinfuku, N., Sugita, T. & Shingai, N. (1984) Presenile and senile dementia in Japan. Asian Medical Journal 27, 393399.Google Scholar
Slater, E. & Roth, M. (1969) Clinical Psychiatry, 3rd ed. London: Balliere, Tindall & Cassell.Google Scholar
Sluss, T. K., Gruenberg, E. M. & Kramer, M. (1981) The use of longitudinal studies in the investigation of risk factors for senile dementia- Alzheimer type. In The Epidemiology of Dementia, (eds J. A. Mortimer & L. M. Schuman). New York: Oxford University Press.Google Scholar
Srole, L., Langner, T. S., Michael, S. T., Opler, M. K. & Rennie, T. A. C. (1961) Mental Health in the Metropolis, New York: McGraw-Hill.Google Scholar
Sternberg, E. & Gawrilova, S. (1978) Uber klinisch-epidemiologische Untersuchungen in der Sowjetischen Altenspsychiatrie. Nervenarzt, 49, 347353.Google Scholar
Weissman, M. M., Myers, I. K., Tischler, O. L., Holzer, C. E. III, Leaf, P. J., Orvaschel, H. & Brody, J. A. (1985) Psychiatric disorders (DSM-III) and cognitive impairment among the elderly in a U.S. urban community. Acta Psychiatrica Scandinavica, 71, 366379.Google Scholar
Weyerer, S. (1983) Mental disorders among the elderly: True prevalence and use of medical services. Archives of Gerontology A Geriatrics, 2 1122.CrossRefGoogle ScholarPubMed
Whitehead, A. (1981) Age and mortality in dementia. British Journal of Psychiatry, 139, 249.Google Scholar
Wilkin, D., Durie, A., Wade, G., Jolley, D. & Stout, I. (1984) Specialist Services for the Elderly: A Study of Referrals in Geriatric, Psychiatric and Social Services, Research Report No. 5, Manchester: Psychogeriatric Unit, University Hospital of South Manchester.Google Scholar
Williamson, J., Stokoe, I. H., Gray, S., Fisher, M., Smith, A., McGhee, A. & Stephenson, E. (1964) Old people at home: Their unreported needs. Lancet, i, 11171120.Google Scholar
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