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Psychiatric morbidity among continuing care geriatric inpatients

✍ Scribed by Ajit Shah; Virach Phongsathorn; Collette George; Celia Bielawska; Cornelius Katona

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 712 KB
Volume: 7
Category: Article
ISSN: 0885-6230
DOI: 10.1002/gps.930070711

No coin nor oath required. For personal study only.

✦ Synopsis

This study examines the point prevalence of psychiatric morbidity among continuing care geriatric inpatients and the performance of screening questionnaires in detecting such morbidity. From a sample of 74 patients it was possible to carry out complete dementia ratings in 53 patients and depression ratings in 52 patients. Eighty-three per cent of the patients assessed had dementia and 48% had significant depressive symptoms. Screening for dementia with the Mini Mental State Examination (MMSE) had 100% sensitivity and 78% specificity. The Geriatric Depression Scale (GDS) had 80% sensitivity and 64% specificity at the conventional cutoff of 10/11. Receiver operatingcharacteristics curve analysis suggested that a 12/13 cutoff gave the best sensitivity (75%) and specificity (73%) values for depressive symptoms. Among patients with dementia a cutoff score of 12/13 on the GDS also gave optimal sensitivity, specificity and positive predictive values. The GDS revealed good test-retest stability in the whole sample (tau = +0.55,p < 0.001) and the demented subgroup (tau = f 0 . 5 2 , ~ < 0.001).

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