✦ LIBER ✦

Diagnosis of psychiatric disorder in elderly general and geriatric hospital patients: Agecat and dsm-III-r compared

✍ Scribed by Dr. David Ames; Eleanor Flynn; Virginia Tuckwell; Susan Harrigan

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 567 KB
Volume: 9
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.930090806

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Physically ill elderly patients (N= 236) in a geriatric and a general hospital were interviewed with the Geriatric Mental State (GMS) schedule. Psychiatric diagnoses made by the computer programme ‘AGECAT’ were compared with those made by a psychiatrist who applied DSM‐III‐R diagnostic criteria to the GMS data. Overall kappa for all diagnostic groups was 0.78. Agreement was excellent for organic diagnoses and good for depression. GMS‐AGECAT can be used with confidence to detect common psychiatric disorders in physically ill elderly general and geriatric hospital patients.

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One hundred and fourteen elderly medically ill day patients were interviewed in order to assess the prevalence of DSM-111-R main psychiatric disorders. Dementia affected 14.0% of the subjects, major depression 20.3%, dysthymic disorder 4.4%, atypical depression 13.2%, other disorders 3.6%. Overall,