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Psychiatric disorders in elderly from the Indian sub-continent living in Bradford
Author(s)Kumud Bhatnagar, Judith Frank
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 9, September 1997
Pagespp 907-912
KeywordsCognitive impairment ; Dementia ; Anxiety ; Asian people ; Social surveys ; Bradford.
AnnotationIn this community study of the prevalence of psychiatric disorders among older immigrants from India, Pakistan, and Bangladesh living in Bradford, West Yorkshire, the authors found depression in 20%, dementia in 4%, and anxiety neuroses in 4%. Subjects were interviewed at their place of residence by a consultant psychiatrist familiar with their culture and language. The Hindi translation of the community version of the Geriatric Mental State schedule (GMS-A) was also administered. Psychiatrist's ICD-9 diagnosis was compared with GMS-AGECAT computerised diagnoses. The authors found low-level agreement in dementia cases (kappa 0.33), whereas the agreement in subjects with depression was high (kappa 0.81). In many subjects GMS-A made a diagnosis of dementia not diagnosed as cases by the psychiatrist, who had the benefit of additional history information from carers in the population from a different culture and educational background. The findings and limitations of GMS-A in the diagnosis of dementia in cross-cultural research are discussed. Larger studies are needed to find out prevalence rates in country of origin; and to investigate observations of low rates of Alzheimer type dementia in this population. (RH).
Accession NumberCPA-980827265 A
ClassmarkE4: EA: ENP: TKK: 3F: 88A

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