The prevalence and management of dementia and other psychiatric disorders in nursing homes

International Psychogeriatrics
B W RovnerM Folstein

Abstract

The prevalence of psychiatric disorders among new admissions to nursing homes is unknown. Such data are needed to estimate the psychiatric needs of this population. We report the prevalence of specific psychiatric disorders in 454 consecutive new nursing home admissions who were evaluated by psychiatrists and diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Eighty percent had a psychiatric disorder. The commonest were dementia syndromes (67.4%) and affective disorders (10%). Also, 40% of demented patients had additional psychiatric syndromes such as delusions or depression, and these patients constituted a distinct subgroup that predicted frequent use of restraints and neuroleptics, and the greatest consumption of nursing time. These data demonstrate that the majority of nursing home residents have psychiatric disorders on admission, and that their management is often quite restrictive. Research is now needed to determine the best methods of treatment for nursing home patients with mental disorders.

Citations

Feb 6, 2007·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Meaghan B O'BrienRon Dewar
Sep 10, 2002·Journal of Psychosomatic Research·Raphael J LeoJurgis Karuza
Mar 10, 2000·Journal of Affective Disorders·J JanzingF Zitman
Nov 5, 1992·The New England Journal of Medicine·J M Gorman, E E Gorenstein
Jun 28, 2011·Aging & Mental Health·Victor A MolinariKathryn Hyer
Jul 19, 2008·Epidemiologic Reviews·Jessica J JalbertKate L Lapane
Apr 5, 2003·The Gerontologist·Sandra AylwardVan Johncox
Dec 22, 2004·The Gerontologist·A Lynn SnowDiane Novy
Jun 15, 2006·BMC Health Services Research·Camilla M T CallegariFederico Baranzini
Mar 1, 1993·American Journal of Public Health·B J BurnsL R Landerman
Dec 1, 1991·Research in Nursing & Health·M H PalmerJ G Ouslander
Aug 7, 2009·The Journal of Nutrition, Health & Aging·Y RollandB Vellas
Jan 1, 1999·International Journal of Psychiatry in Clinical Practice·A Shah
Aug 22, 2013·Disability and Rehabilitation·Joanna Szczepańska-GierachaJoanna Rymaszewska
Nov 22, 2012·Journal of the American Medical Directors Association·Geir SelbækSverre Bergh
May 19, 1998·Psychosomatics·M A Cohen
Jul 19, 2011·Archives of Gerontology and Geriatrics·Paweł MatusikTomasz Grodzicki
Jun 11, 2011·Journal of the American Medical Directors Association·Annette Christy, Victor Molinari
Feb 5, 2011·Behavior Therapy·Victor Molinari, Barry A Edelstein
Jun 8, 2010·International Journal of Alzheimer's Disease·Ann L Gruber-BaldiniJay Magaziner
Apr 24, 2001·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·I R KatzM J Kallan
Mar 4, 2003·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Stephen J BartelsAnne C Voss
Aug 19, 2008·Journal of Psychosomatic Research·Najma SiddiqiRebecca A Harding
May 7, 2008·Journal of the American Medical Directors Association·Irwin J MansdorfNancy Wohl
Mar 1, 2008·Aggression and Violent Behavior·Tony RosenMark Lachs
Mar 14, 2007·Journal of the American Medical Directors Association·Gwendolen T Buhr, Heidi K White
Sep 29, 2004·Journal of the American Geriatrics Society·Ann L Gruber-BaldiniSheryl Zimmerman
Jan 10, 2009·International Journal of Geriatric Psychiatry·Ranil De SilvaRalph M Martins
Dec 1, 2012·Journal of the American Geriatrics Society·Martin G ColeEric Belzile
Apr 21, 2012·International Journal of Geriatric Psychiatry·Martin G ColeEric Belzile
Jan 29, 2011·International Journal of Geriatric Psychiatry·Jane McCuskerEric Belzile
Jul 25, 2006·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Donovan T MaustAdam Rosenblatt
Mar 1, 2006·Journal of the American Medical Directors Association·Gwendolen T Buhr, Heidi K White
Sep 14, 2000·Clinics in Geriatric Medicine·J Y Leland

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