Mental illness in new neurological patients

Journal of Neurology, Neurosurgery, and Psychiatry
Per FinkMorten Frydenberg

Abstract

To determine the prevalence of psychiatric disorders in new neurological inpatients and outpatients, and examine whether they are recognised, treated, or referred to psychiatric consultation. 198 consecutive patients referred for the first time to a neurologist were studied using a two phase design. ICD-10 psychiatric diagnoses were established by means of the SCAN (Schedules for Clinical Assessment in Neuropsychiatry). The overall prevalence of current mental disorders was 55.1% (95% CI: 46.2 to 63.8), and 65.0% (95% CI: 56.1 to 73.0) had at least once in their life had a psychiatric disorder. The most frequent current diagnoses were somatoform disorders (33.8%, (95% CI: 25.9 to 42.7%)), followed by phobias (21.8%; 95% CI: 15.3 to 30.0), substance use disorders (13.3%; 95% CI: 8.3 to 20.6) and depression/dysthymia (14.4; 95% CI: 9.1 to 21.8). The psychiatric morbidity markedly declined with increasing age. Compared with 63.5% of the women, 46.4% of the men had a psychiatric disorder. Substance use disorders were more frequent in men than women (p=0.002). Patients with a psychiatric disorder were more frequently seen in the outpatients' clinic than those without. The neurologists detected 14%-40% of the cases, 16.9% were in tre...Continue Reading

Citations

Feb 16, 2006·Social Psychiatry and Psychiatric Epidemiology·Monika KrautgartnerJohannes Wancata
Mar 15, 2005·General Hospital Psychiatry·Morten Steen HansenMorten Frydenberg
Mar 30, 2004·Journal of Psychosomatic Research·Per FinkPeter De Jonge
Nov 15, 2011·Applied Neuropsychology·Anya Mazur-MosiewiczRaymond S Dean
Sep 20, 2005·The Australian and New Zealand Journal of Psychiatry·Roger G Kathol, David Clarke
Aug 28, 2007·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·P WicksL H Goldstein
Jun 4, 2005·BMJ : British Medical Journal·Niruj Agrawal, Alex J Mitchell
Oct 24, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·Kate JefferiesNiruj Agrawal
Nov 14, 2006·Journal of Neurology, Neurosurgery, and Psychiatry·John Moriarty
Jan 31, 2012·Neurologic Clinics·Nadejda AlekseevaAlireza Minagar
Jan 13, 2016·BJPsych Bulletin·Niruj AgrawalHugh Rickards
Jul 18, 2006·The Medical Clinics of North America·Roger KatholJohan Ormel
Jun 29, 2010·Pharmacoepidemiology and Drug Safety·Adrian MundtRenate Grohmann
Nov 17, 2005·Psychosomatics·Per FinkLene Søndergaard
Jun 25, 2014·International Journal of Psychiatry in Medicine·Yasuhiro KishiWilliam Meller
Apr 6, 2018·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Zahra GoodarziJayna Holroyd-Leduc
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Mar 13, 2019·International Journal of Environmental Research and Public Health·Jarim KimHong-Ki Song
Sep 29, 2019·Journal of Neurosurgery·Andrew AjisebutuDemitre Serletis
Aug 1, 2012·Acta Neuropsychiatrica·Niruj Agrawal
Dec 1, 2009·Irish Journal of Psychological Medicine·Finian M O'BrienKieran C Murphy
Dec 18, 2020·International Journal of Psychiatry in Medicine·Juan Valdés-Stauber, Ulrich Kendel
Mar 15, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Irene L KatzanPaul K Crane
Sep 4, 2021·Parkinsonism & Related Disorders·Michele TinazziChristian Geroin

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