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Emotional and cognitive dysfunction associated with medical disorders.
S vonAmmon Cavanaugh1, R M Wettstein
1Department of Psychiatry, Rush Presbyterian St. Luke's Medical Center, Chicago, IL 60612.
Journal of Psychosomatic Research
|January 1, 1989
Summary
Hospitalized patients frequently experience depression and emotional dysfunction. Specific diseases like cancer and bone/connective tissue disorders are linked to higher rates of these mental health issues.
Area of Science:
- Medical Psychology
- Psychiatry
- Clinical Medicine
Background:
- Mental health issues like depression and emotional dysfunction are prevalent in hospitalized patients.
- Assessing cognitive function is also crucial in this population.
Purpose of the Study:
- To determine the prevalence of depressive symptomatology, emotional dysfunction, and cognitive dysfunction in hospitalized medical patients.
- To explore the association between specific medical conditions and these psychological and cognitive impairments.
Main Methods:
- Administered the Beck Depression Inventory (BDI), General Health Questionnaire-30 (GHQ-30), and Mini Mental Status Examination (MMSE) to 335 randomly selected patients.
- Categorized patient medical status into 13 disease categories.
Main Results:
- 36% of patients showed depressive symptomatology (BDI), 61% emotional dysfunction (GHQ-30), and 28% cognitive dysfunction (MMSE).
- Neurological, respiratory, and bone/connective tissue diseases correlated with cognitive dysfunction.
- Cancer and bone/connective tissue diseases were linked to higher emotional dysfunction.
- Gastro-intestinal disease, cancer, and bone/connective tissue diseases showed increased depressive symptomatology, particularly somatic symptoms in cancer patients.
Conclusions:
- Significant rates of depression, emotional, and cognitive dysfunction exist in hospitalized medical patients.
- Specific medical conditions are associated with increased risk for these impairments.
- Further interview-based research is recommended to validate these preliminary findings.