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Related Experiment Videos

[Gerontopsychiatric problems in a consultation-liaison practice].

Gábor Gazdag1, Gábor Sebestyén

  • 1Szent László Kórház, Addiktológiai és Pszichiátriai Ambulancia, Budapest. gazdag@lamb.hu

Neuropsychopharmacologia Hungarica : a Magyar Pszichofarmakologiai Egyesulet Lapja = Official Journal of the Hungarian Association of Psychopharmacology
|February 24, 2006
PubMed
Summary

Consultation-liaison psychiatry effectively diagnoses and treats psychiatric symptoms in non-psychiatric patients. Geriatric psychiatric issues, particularly dementia and delirium, are increasingly common, especially with cardiovascular conditions.

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Area of Science:

  • Psychiatry
  • Geriatrics
  • Internal Medicine

Context:

  • Consultation-liaison psychiatry is crucial for managing psychopathological symptoms in non-psychiatric hospital settings.
  • The growing elderly population presents increasing gerontopsychiatric challenges within consultation services.

Purpose:

  • To investigate the reasons for psychiatric consultations, diagnoses, co-occurring somatic disorders, and treatment recommendations in a consultation-liaison service.
  • To analyze the specific gerontopsychiatric problems encountered and their association with somatic conditions.

Summary:

  • Internal medicine accounted for 77% of consultations, often due to psychiatric symptoms or unexplained somatic complaints.
  • Dementia and delirium were the most frequent diagnoses, with gerontopsychiatric issues frequently linked to cardiovascular disorders. Affective disorder rates were notably high.

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  • Referrals were commonly for non-compliance in dementia patients and somatic complaints in affective disorder cases, with delirium symptoms being the primary referral reason.

    • Impact:

    • Highlights the significant role of consultation-liaison psychiatry in addressing complex patient needs.
    • Provides insights into the prevalence and nature of gerontopsychiatric disorders in hospitalized populations.
    • Informs clinical practice and future research on managing psychiatric comorbidities in non-psychiatric settings.