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Related Experiment Videos

Psychiatric screening on a neurological ward

J R DePaulo, M F Folstein, B Gordon

    Psychological Medicine
    |February 1, 1980
    PubMed
    Summary

    Neurological patients show high psychiatric disturbance rates. A combined screening for cognitive and emotional issues is recommended, especially for those at risk of cognitive impairment.

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    Area of Science:

    • Neuropsychiatry
    • Clinical Psychology

    Background:

    • Neurological disorders frequently present with psychiatric comorbidities.
    • Accurate screening for cognitive and emotional disturbances is crucial for patient management.

    Purpose of the Study:

    • To evaluate the effectiveness of two psychiatric screening instruments, the Mini-Mental State (MMS) and the General Health Questionnaire (GHQ), in neurological inpatients.
    • To identify specific neurological conditions associated with higher rates of cognitive and emotional disturbances.

    Main Methods:

    • Administered the Mini-Mental State (MMS) and General Health Questionnaire (GHQ) to 197 neurological inpatients.
    • Correlated MMS and GHQ scores with standard cognitive tests, cerebral pathology diagnosis, and CAT scan abnormalities.

    Main Results:

    • High rates of psychiatric disturbance were observed in the neurological inpatient population.
    • Parkinson's disease patients exhibited the highest cognitive disturbance (MMS).
    • Myasthenia gravis and multiple sclerosis patients showed the highest emotional disturbance (GHQ).
    • MMS scores correlated with cognitive function and neuroimaging findings, while GHQ scores did not.
    • The GHQ inadequately detected cognitive impairment.

    Conclusions:

    • A significant psychiatric burden exists within neurological inpatient populations.
    • A tandem screening approach, using both cognitive (MMS) and emotional (GHQ) assessments, is necessary for comprehensive evaluation.
    • This combined approach is particularly vital for patients at high risk of cognitive impairment.

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