Mental disorders of the aged

Senility
Mental decline

Nature

Loss of mental functioning is one of the most distressing burdens of old age. The condition is progressive and irreversible and affects not only the victims but their families and society as a whole. Adequate research into causes and cures is lacking and as the old and very old come to define larger and larger segments of the population, the scope of the problem will inevitably grow.

Background

The global significance of mental disorders among the aged emerged in the mid-20th century, as increased longevity revealed unprecedented rates of cognitive and emotional conditions in older populations. Early epidemiological studies in Europe and North America highlighted the prevalence of dementia and depression, prompting international health organizations to recognize these disorders as distinct public health challenges. Subsequent research has documented similar patterns worldwide, underscoring the universal and growing impact of mental health issues in aging societies.

Incidence

There is a rise in the prevalence of mental illness in persons above the age of 65, as well as tendency for the rate of mental illness to vary with marital status: widowed persons, in particular, have a higher rate than married ones. More striking differences are found in relation to social class: there is a marked trend for the frequency of mental illness to vary inversely with social status. There is also a strong positive association found between mental disorder and physical handicap, which holds good for both men and women, and for all age groups over 65.

Claim

The disappearance of the traditional care and support by the extended family has a negative impact on the state of physical and mental health of the elderly, especially in impoverished environments, such as the tough neighbourhoods of inner cities.

Counter-claim

It is misguided to consider mental disorders of the aged as a significant problem. With advances in healthcare and social support, most elderly individuals enjoy stable mental health. Resources would be better spent addressing issues that affect larger, more productive segments of the population. The focus on mental disorders in the aged is exaggerated and diverts attention from more pressing societal concerns. This topic simply does not warrant the attention it currently receives.