Trajectories of Disability in the Last Year of Life

Abstract Background The functional state is important for the elderly and their families, but little is known about the process of death. METHODS: Data of 383 people who died from a longitudinal study of 754 community-sponsored elderly people were evaluated. At the beginning of the study, no subjects had obstacles to the basic activities of their daily lives, and the degree of disability was over 10 years in a monthly interview. Information on the situation leading to death is obtained from the death certificate and comprehensive evaluation is completed every 18 months after baseline evaluation.

To test for simultaneous dysfunction, we compared disability levels of the 4 course trajectory for each assessment in a long-term and broad perspective (6 years of follow-up, all emotional and anxiety disorders, n = 712 People 's participants). The disability was measured by the World Health Organization's Disability Assessment Form II (WHODAS - II) in all evaluations. In addition to the four work disturbances (32 total), since MDD patients were often struggling to work, we included all subscales so as not to overlook the answers.

Reconsider the prognosis of major depression across diagnostic boundaries: complete rehabilitation is an exception rather than rule

Emotional disorders such as depression and bipolar disorder (MD) are one of the most ineffective diseases. In 2004, depression was the main cause of disability, and it was measured as the third major factor of years of loss of years of disability (YLD) and worldwide disease burden. It is standard. It combines the long-standing loss of life due to premature death and the long-standing loss of life due to poor health. Bipolar disorder is one of the top ten causes of YLD occurrence in the world in 2004. Risk factors (eg excessive use of nicotine and alcohol and other drugs), simultaneous anxiety disorders and eating disorders can lead to the early onset of serious disease

More than 20% of adults over the age of 60 are suffering from mental illness or neurological disorder (excluding headache), 6.6% (people with disabilities adjusted life - DALY) of people over the age of 60 are suffering from psychiatric disorders and neurological diseases caused by. These diseases in the elderly account for 17.4% of Year of Disability (YLD). The most common mental and neurological disorders in this age group are dementia and depression, affecting approximately 5% and 7% of the world elderly population, respectively. Anxiety affects 3.8% of the elderly population, substance use problems affect nearly 1%, and about a quarter of self-injured people are over the age of 60. Problems of drug abuse of the elderly are often overlooked or misdiagnosed