Psychiatric morbidity among continuing care geriatric inpatients
Ajit Shah
Bok Engelsk 1992
| Utgitt | 1992
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|---|---|
| Omfang | 9 s.
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| Opplysninger | 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 rating in 52 patients. Eighty-three per cent of the patients assessed had dementia and 48% had significant depressive symptoms. Screening for dementia with the MiniMentalStateExamination (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 operating characteristics curve analysis suggested that a 12/13 cutoff gave 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=+0.52,p<0.001).
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