No previous attempt has been made to synthesise
information on mortality and neurosis
in older people.
Our objective was
to estimate in the older population
on mortality of
various types of neurosis.
Data sources were:
Medline, Embase, and
Studies were considered if they
included a majority of persons
aged 65 and over at baseline either
drawn from a total
community sample or drawn from a
random sample from the community.
Studies which sampled from
a larger age range were also
included if it was possible to retrieve
results about those aged 65 and over.
Samples from health care facilities
Effect sizes were extracted from the papers
and if they were not included in the published
papers effect sizes were calculated if possible.
No attempt was made to contact authors
for missing data.
We found 7 reports (6 of which used a
neurosis diagnosis and 1 used a symptom scale).
Using Fisher's method we found an increase in mortality
which was not significant (p=0.08).
There have been few studies, and the evidence is weakly
in favour of an increased mortality risk.