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  1. Prevalence of dementia in a rural netherlands population and the influence of DSM-III-R and CAMDEX criteria for the prevalence of mild and more severe forms.

    Article - En anglais

    To obtain estimates of the prevalence of mild and moderate/severe dementia among people age 65 and over, applying criteria for severity of both DSM-III-R and CAMDEX, a two-stage community-based study was conducted in a rural area of the Netherlands.

    In the first stage, 2191 subjects (out of the target population of 2655) participated in an interview which included the Mini-Mental State Examination (MMSE).

    Based on MMSE score, a non-proportional random sample (n=496) was drawn for the second stage.

    A total of 421 subjects responded and were subsequently examined using the Cambridge Examination for Mental Disorders of the Elderly (CAMDEX).

    In determining the severity of dementia, criteria of both DSM-III-R and CAMDEX were applied.

    Overall prevalence for both classification systems was 6.5%. There was a large discrepancy between the two classification systems with regard to the criteria for rating severity.

    The prevalence of moderate/severe dementia using DSM-III-R criteria was twice as high as the prevalence using CAMDEX criteria.

    These findings reflect the differences between DSM-III-R and CAMDEX in descriptions of dementia severity.

    Rating according to CAMDEX predicts institutionalization in specialized nursing homes somewhat better than staging according to DSM-III-R.

    Both content analysis and institutionalization data suggest that the CAMDEX operationalization of rating severity seems preferable.

    Mots-clés Pascal : Démence Alzheimer, Zone rurale, Indice gravité, Epidémiologie, Prévalence, Vieillard, Homme, Pays Bas, Europe, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative

    Mots-clés Pascal anglais : Alzheimer disease, Rural area, Severity score, Epidemiology, Prevalence, Elderly, Human, Netherlands, Europe, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0223889

    Code Inist : 002B17G. Création : 11/09/1998.