The early detection and diagnosis of dementia is gaining in importance both for medical research and for individual case management. Here, a key part can be played by general practitioners, who are in contact with most of the affected old people and well placed to observe any signs of mental deterio
Should general practitioners refer more of their elderly depressed patients to psychiatric services?
β Scribed by D. Jenkins; A. Macdonald
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 417 KB
- Volume
- 9
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
β¦ Synopsis
As part of a prevalence and recognition study of 336 elderly attenders at GP surgeries, 65 with high depression scores (who had not been referred for specialist psychiatric services) were randomly allocated either to 9 months' treatment by a multidisciplinary community psychogeriatric team or to continued management by their GP. At follow-up, elderly men treated by the team had done better than those cared for by their GP, but this was not statistically significant. There was no difference in outcome for elderly women, nor for the group as a whole. It is suggested that while larger studies are awaited, elderly depressed men might profitably be referred to specialist services more often than at present. KEY woms-Depression, elderly, primary care, referrals.
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