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A survey of dementia in the Canberra population: experience with ICD-10 and DSM-III-R criteria

  • A. S. Henderson (a1), A. F. Jorm (a1), A. Mackinnon (a1), H. Christensen (a1), L. R. Scott (a1), A. E. Korten (a1) and C. Doyle (a1)...

Synopsis

A community survey of 1045 persons aged 70 years and over was conducted to identify cases of dementia in the cities of Canberra and Queanbeyan. Cases were identified using the Canberra Interview for the Elderly, administered by lay interviewers. When diagnostic criteria were rigidly applied, the point prevalence of dementia in the combined sample of community and institutional residents was considerably lower by ICD-10 than by DSM-III-R. Both criteria showed a similar rise in prevalence with age, and no gender difference. Agreement between the two systems had a kappa of only 0·48. ‘Probable’ cases by either criteria were identified solely from respondent-provided information in order to include persons for whom no informant was available. The point prevalence of such ‘probable’ cases was more similar for the two systems, and the kappa coefficient of agreement rose to 0·80. Analysis of the various components required for a diagnosis of dementia showed that the prevalence of all increased with age. Components involving cognitive assessment were correlated with education, but other components were not. The results of the study point to important differences between ICD-10 and DSM-III-R diagnoses of dementia.

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Corresponding author

1 Address for correspondence: Professor A. S. Henderson, National Health and Medical Research Council, Social Psychiatry Research Unit, The Australian National University, GPO Box 4, Canberra, ACT 0200, Australia

References

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American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd edn revised). DSM-III-R. APA: Washington, DC.
Berkman, L. F. (1986). The association between educational attainment and mental status examinations: of etiologic significance for senile dementias or not? Journal of Chronic Diseases 39, 171174.
Copeland, J. R. M., Dewey, M. E. & Saunders, P. (1991). The epidemiology of dementia. GMS-AGECAT studies of prevalence and incidence, including studies in progress. European Archives of Psychiatry and Clinical Neuroscience, 240, 212217.
Dartigues, J. F., Gagnon, M., Michel, P., Letenneur, L., Commenges, D., Barberger-Gateau, P., Auriacombe, S., Rigal, B., Bedry, R., Alperovitch, A., Orgogozo, J. M., Henry, P., Loiseau, P. & Salamon, R. (1991). Le programme de recherche Paquid sur l'épidémiologie de la démence: méthodes et résultats initiaux. Revue Neurologique 147, 225230.
Folstein, M. F, Folstein, S. E. & McHugh, P. R. (1975). ‘Mini-Mental State’: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189198.
Folstein, M. F., Bassett, S. S., Anthony, J. C., Romanovski, A. J. & Nestadt, G. R. (1991). Dementia: case ascertainment in a community survey. Journal of Gerontology: Medical Sciences 46, M132M138.
Fuhrer, R., Antonucci, T. C., Gagnon, M., Dartigues, J. F., Barberger-Gateau, P. & Alperovitch, A. (1992). Depressive symptomatology and cognitive functioning: an epidemiological survey in an elderly community sample in France. Psychological Medicine 22, 159172.
Henderson, A. S. (1994). Dementia. World Mental Health Situation Report. World Health Organization: Geneva.
Henderson, A. S., Jorm, A. F., Mackinnon, A., Christensen, H., Scott, L. R., Korten, A. E. & Doyle, C. (1993). The prevalence of depressive disorders and the distribution of depressive symptoms in later life: a survey using Draft ICD-10 and DSM-III-R. Psychological Medicine 23, 719729.
Hofman, A., Rocca, W. A., Brayne, C., Breteler, M. M. B., Clark, M., Cooper, B. & Copeland, J. R. M. (1991). The prevalence of dementia in Europe: a collaborative study of 1980–1990 findings. International Journal of Epidemiology 20, 736748.
Jorm, A. F. (1990). The Epidemiology of Alzheimer's Disease and Related Disorders. Chapman and Hall: London.
Jorm, A. F., Korten, A. E. & Henderson, A. S. (1987). The prevalence of dementia: a quantitative integration of the literature. Acta Psychiatrica Scandinavica 76, 465479.
Katzman, R. (1993). Education and the prevalence of dementia and Alzheimer's disease. Neurology 43, 1320.
Kittner, S. J., White, L. R., Farmer, M. E., Wolz, M., Kaplan, E., Moes, E., Brody, J. A. & Feinleib, M. (1986). Methodological issues in screening for dementia: the problem of education adjustment. Journal of Chronic Diseases 39, 163170.
Mackinnon, A., Christensen, H., Cullen, J. S., Doyle, C. J., Henderson, A. S., Jorm, A. F., Korten, A. E. & Scott, L. R. (1993). The Canberra Interview for the Elderly: assessment of its validity in the diagnosis of dementia and depression. Acta Psychiatrica Scandinavica 76, 146151.
Norušis, M.J./SPSS Inc. (1990). SPSS/PC+ Statistics 4.0. SPSS Inc.: Chicago.
Ritchie, K., Kildea, D. & Robine, J.-M. (1992). The relationship between age and the prevalence of senile dementia: a meta-analysis of recent data. Interntional Journal of Epidemiology 21, 763769.
Social Psychiatry Research Unit (1992). The Canberra Interview for the Elderly: a new field instrument for the diagnosis of dementia and depression by ICD-10 and DSM-III-R. Acta Psychiatrica Scandinavica 85, 105113.
World Health Organization (1990). ICD-10 Chapter V. Mental and Behavioural Disorders (including disorders of psychological development). Diagnostic Criteria for Research. 05 1990 Draft for Field Trials, World Health Organization, Division of Mental Health: Geneva.

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