Mental Health and Psychological Well-being Among the Old and the Very Old Living at Home

Abstract

Using four brief assessment scales, profiles of mental health and psychological well-being were obtained from 507 old (aged 65–74 years) and 535 very old (aged 75 +) individuals randomly sampled from the community. Assessments of dementia and depression were subsequently validated against diagnostic ratings made by experienced psycho-geriatricians. Levels of agreement between psychometric and clinical ratings of dementia x = 0.83) and depression (x = 0.66) were satisfactory. The old and very old groups reported similar levels of anxiety and personal disturbance, and showed a similar prevalence of depression. However, those aged 75+ showed higher levels of dementia and significantly lower levels of social involvement and morale.