PMID: 8615414May 1, 1996Paper

Psychiatric disorders in African American nursing home residents

The American Journal of Psychiatry
C A ClassH C Hendrie

Abstract

High prevalence rates of psychiatric illness and high levels of behavioral disturbance have been reported in studies of nursing home residents; however, the populations evaluated have been predominantly Caucasian. The aims of the present study were to identify prevalence rates of psychiatric disorders and behavioral disturbances in a sample of African American nursing home residents. The authors evaluated 106 African American nursing home residents, aged 65 and over, from a representative sample of nursing homes. The evaluation included informant interview with nursing home staff, cognitive assessment, and a psychiatric interview that included a physical and neurological examination. Consensus diagnoses were reached by using DSM-III-R criteria. Of the 106 subjects, 90% received at least one primary psychiatric diagnosis, and 71% had at least one behavioral problem; dementia was the most common psychiatric diagnosis (68%). Thirty -one percent of the patients were treated with neuroleptic medication; most of these patients received diagnoses of dementia or schizophrenia. Fifteen percent of the patients had been in physical restraints, which correlated with physical disability. The prevalence of psychiatric illness in this sample ...Continue Reading

Citations

May 15, 1998·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·C I CohenC Magai
Jan 18, 2006·Journal of the American Medical Directors Association·Marc H ZisselmanFrancisco Sanchez
Nov 11, 2015·International Journal of Geriatric Psychiatry·Alexandra S CreightonDavid W Kissane
Nov 7, 1998·The Australian and New Zealand Journal of Psychiatry·K HallH C Hendrie
Jun 5, 2010·International Psychogeriatrics·Dallas SeitzDavid Conn
Nov 27, 1999·Australian and New Zealand Journal of Public Health·S R Kisely, P Shannon
Jan 11, 2007·Journal of Gerontological Social Work·Sandra Edmonds Crewe

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