PMID- 31434422 OWN - NLM STAT- MEDLINE DCOM- 20190903 LR - 20190903 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 99 IP - 31 DP - 2019 Aug 20 TI - [Epidemiological survey of mental disorders in the rural left behind elderly aged 60 years and older in Gansu]. PG - 2429-2434 LID - 10.3760/cma.j.issn.0376-2491.2019.31.005 [doi] AB - Objective: To investigate the prevalence, demographic characteristics and social life function of mental disorders in the rural left behind elderly aged 60 years and older in Gansu. Methods: Between November 2017 and June 2018, a multi-stage stratified cluster sampling method was used to randomly select the rural left behind elderly aged 60 years and older in Gansu, and totally 6 000 elderly were enrolled. By using the extended general health questionnaire (GHQ-12) and the American Handbook for Diagnosis and Statistics of Mental Disorders (DSM-Ⅳ) Axis Ⅰ Disorders Formal Clinical Examination Patient Edition, all the included subjects were screened and diagnosed. Functional status was assessed by the Global Assessment Function scale (GAF). Statistical analysis of the prevalence of various mental illnesses, as well as the differences in the prevalence of different gender, marital status and age groups was performed. Results: Totally, 6 000 subjects completed the survey. The adjusted current prevalence of any mental disorder was 20.11% (95%CI 17.70%-22.85%). The six most prevalent specific disorders were major depressive disorder (9.20%), pain disorder (2.71%), mood disorder due to the body condition (2.08%), generalized anxiety disorder (1.99%), anxiety disorder not otherwise specified (1.15%) and dysthymic disorder (0.84%). The lifetime prevalence of mental disorders was 20.54% (95%CI 18.40%-23.39%). The overall current prevalence of mental disorders was higher in women (242.89 per thousand) than in men (119.55 per thousand), and the unmarried (248.37 per thousand) was higher than those married (187.53 per thousand). There was no significant difference in the prevalence of mental disorders among different age groups (P>0.05). The GAF score of mental disorders was 56+/-11, and 71.82% was moderate to severe functional impairment. Conclusions: The prevalence of mental disorders is high in rural left-behind population aged 60 years and over in Gansu Province. Major depression is a condition that deserves special attention. FAU - Ding, Z J AU - Ding ZJ AD - Department of Psychiatric, Tianshui Third People's Hospital, Tianshui 741000, China. FAU - Wang, G P AU - Wang GP FAU - Zhang, Y L AU - Zhang YL FAU - Xie, R AU - Xie R FAU - Pei, G X AU - Pei GX FAU - Du, H Y AU - Du HY FAU - Wang, J AU - Wang J FAU - Li, G AU - Li G FAU - Hong, G Z AU - Hong GZ FAU - Wen, J AU - Wen J FAU - Wei, Z L AU - Wei ZL FAU - Yang, J AU - Yang J FAU - Luo, L AU - Luo L FAU - Li, H AU - Li H FAU - Huang, T Y AU - Huang TY FAU - Wang, X Q AU - Wang XQ FAU - Tao, Y D AU - Tao YD FAU - Gou, Y H AU - Gou YH FAU - Wang, G AU - Wang G LA - chi GR - 17YF1FE142/Key Research and Development Projects of Science and Technology in Gansu Province/ PT - Journal Article PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 SB - IM MH - Aged MH - Cross-Sectional Studies MH - *Depressive Disorder, Major MH - Female MH - Health Surveys MH - Humans MH - Male MH - *Mental Disorders MH - Middle Aged MH - Mood Disorders MH - Prevalence MH - Rural Population MH - Surveys and Questionnaires MH - United States OTO - NOTNLM OT - Epidemiologic survey OT - Mental disorders OT - Prevalence OT - Rural left behind elderly EDAT- 2019/08/23 06:00 MHDA- 2019/09/04 06:00 CRDT- 2019/08/23 06:00 PHST- 2019/08/23 06:00 [entrez] PHST- 2019/08/23 06:00 [pubmed] PHST- 2019/09/04 06:00 [medline] AID - 10.3760/cma.j.issn.0376-2491.2019.31.005 [doi] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2019 Aug 20;99(31):2429-2434. doi: 10.3760/cma.j.issn.0376-2491.2019.31.005.