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Psychiatric disorders among elderly patients attending a geriatric medical day hospital: Prevalence according to clinical diagnosis (DSM-III-R) and agecat

✍ Scribed by Dr. Cesare Turrina; Orazio Siciliani; Mike E. Dewey; Giuseppe C. Fazzari; John R. M. Copeland

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 514 KB
Volume: 7
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.930070708

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✦ Synopsis

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, 60.5% of the patients had a psychiatric disorder. The computerized case designation (AGECAT) showed an acceptable concordance with clinical diagnoses (kappa value for dementia 0.59, for depression 0.58). Some issues related to the high prevalence of major depression are discussed.

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## 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 diagnos