Psychotic symptoms in older people without dementia from a Brazilian community-based sample

• Published in: International journal of geriatric psychiatry Vol. 30; no. 5; pp. 437 - 445
• Main Authors: Soares, Walter Barbalho, Ribeiz, Salma Rose I., Bassitt, Débora P., De Oliveira, Melaine C., Bottino, Cássio M. C.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01-05-2015; Wiley Subscription Services, Inc
• Subjects: Activities of daily living; Aged; Aged, 80 and over; Bipolar disorder; Brazil - epidemiology; Cognitive ability; Community; community sample; Comorbidity; Dementia; Dementia disorders; Developing countries; elderly; epidemiology; Female; Geriatric psychiatry; Hallucinations; Humans; LDCs; Life Style; Male; Mental depression; Mental disorders; Middle Aged; Neuropsychological Tests; Older people; Prevalence; Psychosis; psychotic disorders; Psychotic Disorders - epidemiology; Psychotic Disorders - etiology; psychotic symptoms; Risk Factors; Socioeconomic Factors; Brazil; epidemiology; community sample; psychotic symptoms; psychotic disorders; elderly
• ISSN: 0885-6230; 1099-1166
• DOI: 10.1002/gps.4156

Background
The international prevalence of psychotic symptoms in older subjects without dementia varies from 0.9% to 8.0%. However, an analysis of these symptoms in developing countries has not been undertaken.
Aims
To determine the prevalence and to correlate these symptoms with socioeconomic and clinical characteristics.
Method
A community‐based sample aged 60 years and older was evaluated. Those who screened positive for dementia, cognitive and functional impairment or significant depressive symptoms were excluded, resulting in 1125 individuals.
Results
The prevalence of psychotic symptoms was 9.1% (visual/tactile hallucinations, 7.8%; auditive hallucinations, 7.5%; persecutory delusions, 2.9%). Subjects with psychotic symptoms had lower Mini Mental State Examination and The Bayer Activities of Daily Living Scale scores, fewer years of schooling, belonged to lower socioeconomic classes compared with non‐psychotic subjects, and 80% had clinical comorbidities.
Conclusions
The prevalence was in the upper range of international data. Significant relationships were found between psychotic symptoms and lower Mini Mental State Examination score, fewer years of schooling and lower socioeconomic class. Clinical comorbidity was also very frequent. Copyright © 2014 John Wiley & Sons, Ltd.