Mental health among centenarians living in Switzerland

Author:

Uittenhove Kim12ORCID,Rohner Shauna L.34ORCID,Falciola Justine5,Gomes da Rocha Carla678,Röcke Christina3910,Cavalli Stefano11,Herrmann François5,Jopp Daniela S.12,von Gunten Armin6

Affiliation:

1. Institute of Psychology University of Lausanne Lausanne Switzerland

2. LIVES Centre for Competence University of Lausanne Lausanne Switzerland

3. University Research Priority Program ‘Dynamics of Healthy Ageing’ University of Zurich Zürich Switzerland

4. Competence Centre for Mental Health, Department of Health OST – University of Applied Sciences of Eastern Switzerland St. Gallen Switzerland

5. Department of Rehabilitation and Geriatrics, Faculty of Medicine Geneva University Hospitals and University of Geneva Geneva Switzerland

6. Service of Old Age Psychiatry Lausanne University Hospital and University of Lausanne Lausanne Switzerland

7. Institute of Biomedical Sciences Abel Salazar University of Porto Porto Portugal

8. School of Health Sciences HES‐SO Valais‐Wallis Sion Switzerland

9. Centre for Gerontology University of Zurich Zürich Switzerland

10. Healthy Longevity Centre University of Zurich Zürich Switzerland

11. Centre of Competence on Ageing University of Applied Sciences and Arts of Southern Switzerland (SUPSI) Manno Switzerland

Abstract

AbstractBackgroundGiven the increasing number of people achieving exceptionally long lifespans, there is an urgent need for a better understanding of mental health in centenarians. This study aimed to understand the prevalence of mental health conditions—depressive symptoms, anxiety, sleep disturbances, disinhibition, and aberrant motor behaviour—among centenarians in Switzerland.MethodsData were collected from N = 169 participants via telephone interviews or paper questionnaires, either directly from centenarians or through proxy informants. Half the data were collected during a period when protective measures were imposed due to the COVID‐19 pandemic, and half were collected after the measures were lifted.ResultsMental health conditions were prevalent in our sample, particularly depressive symptoms (44.51%) and anxiety (42.17%). Significant positive associations were found between depressive symptoms and anxiety, and between disinhibition and aberrant motor behaviour. Furthermore, we identified statistical predictors for the occurrence of mental health conditions. Notably, institutionalised living increased the odds of depressive symptomatology, while those with higher education levels or an absence of cognitive impairment experienced more sleep disturbances. Finally, cognitive impairment was linked to increased disinhibition and aberrant motor behaviour.ConclusionsThe high prevalence of mental health conditions underscores the need for proactive mental health care strategies in advanced old age. Moreover, it is vital to consider the interconnected nature of mental health conditions and to prioritise vulnerable groups, such as centenarians in institutional settings.

Funder

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung

Publisher

Wiley

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