Psychiatric symptoms in a community-based medically ill population

Twenty-five home health nurses used the Psychiatric Symptom Assessment Scale to assess the prevalence of psychiatric symptoms in a convenience sample of 176 medically ill clients in their caseloads. Psychiatric symptoms were observed in 74% of the clients, with somatic concerns, anxiety statements, depressive mood, tension, and helpless/hopeless statements being the most prevalent symptoms. Although most symptoms were rated as mild or moderate, several clients had severe symptoms. Implications for nursing care are discussed.