The Frequency of Psychological Symptoms in the Elderly: A Cross-Sectional Field Study in Istanbul, Turkey

Ahmet Ozluk, Can Oner, Hüseyin Cetin, Engin Ersin Simse
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Abstract

Introduction: Various reports have documented the psychological issues that affect the elderly. According to estimates, approximately 20% of the geriatric population experiences at least one psychological symptom or disorder. The aim of this study is to establish the frequency of psychological symptoms in the elderly population in İstanbul, Turkey.   Methods: This cross-sectional study was conducted with 350 participants aged 65 and over, between 01.02.2019 and 19.07.2019. The psychiatric symptoms of the participants were evaluated with the Symptom Check List-90 Revised (SCL-90-R) test.   Results: Psychological symptoms are present in 32.9% of the elderly population. The prevalence of depressive symptoms is 32.9% and the rate of obsessions is 26.6%. Somatization is present in 13.4% of cases, while interpersonal sensitivity is observed in 8.9% of cases. The paranoid symptom rate is 10.6%. While 6.9% of the participants have possible anger disorder symptoms, the rate of participants with anxiety symptoms is 6.6%. The rate of participants with probable phobic symptoms is 5.4%, and the rate of those with psychotic symptoms is 4.0%.   Conclusion: Psychiatric problems encountered in old age negatively affect the quality of life. Because the most common psychological symptoms were depression, obsession, and somatization, family physicians should conduct screenings for possible mental problems in elderly individuals registered with them, regardless of the reason.
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老年人心理症状的发生频率:土耳其伊斯坦布尔横断面实地研究
导 言各种报告都记录了影响老年人的心理问题。据估计,约 20% 的老年人口至少有一种心理症状或心理障碍。本研究旨在确定土耳其伊斯坦布尔老年人口中出现心理症状的频率。 研究方法这项横断面研究在 2019 年 2 月 1 日至 2019 年 7 月 19 日期间对 350 名 65 岁及以上的参与者进行了调查。参与者的精神症状通过症状检查表-90修订版(SCL-90-R)测试进行评估。 结果显示32.9%的老年人有心理症状。抑郁症状的发生率为 32.9%,强迫症的发生率为 26.6%。13.4%的病例出现躯体化,8.9%的病例出现人际关系敏感。偏执症状的比例为 10.6%。6.9%的参与者可能有愤怒障碍症状,有焦虑症状的参与者比例为 6.6%。可能有恐惧症症状的参与者比例为 5.4%,有精神病症状的参与者比例为 4.0%。 结论老年人遇到的精神问题会对生活质量产生负面影响。由于最常见的心理症状是抑郁、强迫症和躯体化,因此家庭医生应该对登记在册的老年人进行筛查,无论其原因如何,都应检查是否存在可能的精神问题。
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