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PubMed1984

Prevalence of mental disorders in an urban sample examined at 70, 75 and 79 years of age.

The prevalence of mental disorders in a representative sample of old people in Gothenburg, Sweden, was studied at 70, 75 and 79. The study comprised 392 subjects at 70, 302 subjects at 75 and 203 at 79. A case was defined by cut-off points on symptom and sign rating scales, and diagnoses were defined operationally as closely as possible to the ICD-classification. The total psychiatric morbidity was 21.9, 24.2 and 31.0% in the three age groups. The prevalence of schizophrenic and paranoid syndromes was 0.5, 1.7 and 2.5% and of affective disorders 1.0, 2.3 and 0.5%. The prevalence of dementias of psychotic degree was 1.3, 2.3 and 6.9% and of asthenic neuroses corresponding to dementias of mild-moderate degree 2.3, 4.0 and 9.4%. The prevalence of anxiety, depressive and obsessive-compulsive neuroses of moderate-severe degree was 6.6, 4.6 and 3.9% and of mild degree 7.9, 6.0 and 5.9%. The prevalence of active alcoholism in men was 4.2, 3.4 and 3.0% and in women 0.0% in all age groups. Current treatment was reported by 67-85% of subjects with psychoses, about one half of them in psychiatric services, and by 35-65% of subjects with neuroses, about one fifth of them in psychiatric services.

Aged↗
PubMed1996

Maternal obsessions of child sexual abuse.

Very few cases exist in the literature of maternal obsessional thoughts of child sexual abuse. Two such cases are described of mothers who experienced obsessional thoughts in the puerperium which concerned sexually abusing their own children. Obsessional thoughts of a sexual nature have been shown to occur commonly--in over 25% of those diagnosed with obsessive-compulsive neuroses. These obsessional thoughts concern actions which are usually identified as going against the sufferer's own value systems or involving sexual perversions. Obsessional thoughts of sexually abusing family members are rarely documented; there are no reports of obsessional thoughts experienced by a mother in the puerperium concerning sexual abuse of her own children. We report two cases of mothers suffering from obsessions of this nature at The Mother and Baby Unit (MBU), Queen Elizabeth Psychiatric Hospital, Birmingham.

Adult↗
PubMed1981

Five-year mortality in a 70-year-old urban population in relation to psychiatric diagnosis, personality, sexuality and early parental death.

In 1971-1972 a systematic, representative sample of 70-year-olds living in Gothenburg, Sweden, was studied. The study included a psychiatric examination, during which the subjects were questioned concerning important aspects of their life history, and mental symptoms during the previous month. Any mental signs observed were recorded. Symptoms and signs were rated on rating scales, and summed up in diagnoses. The subjects also filled in three different personality inventories. The examination was performed in 166 men and 226 women. In 1976-1977 we ascertained from parish records which subjects had died before reaching the age of 75. Thirty-two men and 23 women had died. Associations between the psychiatric variables and mortality were studied. There was a positive association in men between mortality and organic psycho-syndromes. There was a positive, but nonsignificant association with indications of previous alcohol abuse. There was no association with anxiety, depressive and obsessive compulsive neuroses or personality deviations and few associations with personality dimensions and psychogenic needs. There was a positive association in married men between mortality and early cessation of sexual intercourse. There was also a positive association in men between mortality and loss of parents by death before the age of 16.

Aged↗