000165418 001__ 165418
000165418 005__ 20260108143204.0
000165418 0248_ $$2sideral$$a147050
000165418 037__ $$aART-2011-147050
000165418 041__ $$aeng
000165418 100__ $$0(orcid)0000-0001-9243-0339$$aOlivera Pueyo, Francisco Javier
000165418 245__ $$aDetecting psychogeriatric problems in primary care: Factors related to psychiatric symptoms in older community patients
000165418 260__ $$c2011
000165418 5060_ $$aAccess copy available to the general public$$fUnrestricted
000165418 5203_ $$aObjective The aim was to determine the relationship and influence of different variables on the psychiatric symptomatology of older people who reside in the community, as detected by family practitioners. Design A cross-sectional and multi-centre study.Setting Twenty-eight general practices and two psychiatric practices in Huesca, Spain, from 19 primary care health centres.Subjects A sample of 324 patients aged over 65 years, representative of the older people who reside in the community in the province of Huesca.Main outcome measures Symptoms of depression (Yesavage GDS), cognitive impairment (MMSE), anxiety (GADS), psychotic symptoms, obsessive symptoms and hypochondriacal ideas (GMS) were measured by family practitioner and were detected following specific questions from the Geriatric Mental State (GMS-B) examination, following DSM-IV criteria, being defined as 'concern and fear of suffering, or the idea of having a serious disease based on the interpretation of somatic symptoms'. Sociodemographic, physical and somatic, functional and social data were evaluated. Analysis was carried out in three phases: univariate, bivariate and multivariate with logistic regression. Results At the time of the study, 46.1% of the older people studied suffered from some psychiatric symptom; 16.4% had cognitive impairment, 15.7% anxiety, 14.3% depression, 6.1% hallucinations and delusions, 7.2% hypochondriacal ideas and 4.4% obsessive symptoms. Female gender was significantly associated with depression (prevalence ration (PR) 3.3) and anxiety (PR 3.9). Age was a factor associated with cognitive impairment (PR 4.4). Depression was significantly related to severity of the physical illness (PR 61.7 in extremely severe impairment). Isolation (PR 16.3) and being single (PR 13.4) were factors which were strongly associated with anxiety; living in a nursing home was associated with psychotic symptoms (PR 7.6). Conclusions Severity of physical illness, isolation, living in a nursing home and female gender, among others, are related to psychiatric symptoms in community-residing older people identified in primary healthcare centres.
000165418 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000165418 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000165418 700__ $$0(orcid)0000-0002-3012-2573$$aBenabarre, Sergio$$uUniversidad de Zaragoza
000165418 700__ $$aLorente, Teófilo
000165418 700__ $$aRodriguez, Mariano
000165418 700__ $$aBarros, Alfonso
000165418 700__ $$aQuintana, Carmen
000165418 700__ $$aPelegrina, Virtudes
000165418 700__ $$aAldea, Carmen
000165418 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000165418 773__ $$g8, 1 (2011), 11-19$$tMental Health in Family Medicine$$x1756-834X
000165418 8564_ $$s92048$$uhttps://zaguan.unizar.es/record/165418/files/texto_completo.pdf$$yVersión publicada
000165418 8564_ $$s1573645$$uhttps://zaguan.unizar.es/record/165418/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
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000165418 951__ $$a2026-01-08-14:10:17
000165418 980__ $$aARTICLE