Burke W J, Roccaforte W H, Wengel S P
Department of Psychiatry, University of Nebraska Medical Center, Omaha 68105-1065.
J Geriatr Psychiatry Neurol. 1988 Jul-Sep;1(3):159-62. doi: 10.1177/089198878800100305.
There has been little investigation of patients admitted to a psychiatric facility for the first time late in life. We therefore examined characteristics of a group of 100 consecutive patients over the age of 65, admitted for the first time to the psychiatric service of a private, university-affiliated hospital. Almost two thirds of these patients received a primary discharge diagnosis of major depression, while another one fourth received a diagnosis of dementia. Patients with dementia were significantly older and more likely to be men. The frequency of dementia climbed with each decile affecting 15% of those less than 75 years, 39% of those 75 to 84, and 47% of those over age 85. Thirty-six percent of all patients were psychotic on admission, including 28% of those with major depression and 48% of those with dementia. Visual hallucinations were significantly more common in the group with dementia. In turn, eye disease was significantly more common in those with visual hallucinations. Nine patients were admitted with a history of recent assaultive behavior. Four of these were psychotic and eight of nine were demented. Five patients had attempted suicide prior to their admission. All were diagnosed as having major depression.
对于晚年首次入住精神病院的患者，此前几乎没有相关研究。因此，我们对连续收治的100名65岁以上首次入住一家私立大学附属医院精神科的患者的特征进行了研究。这些患者中近三分之二的主要出院诊断为重度抑郁症，另有四分之一被诊断为痴呆症。痴呆症患者年龄更大，男性比例更高。痴呆症的发病率随年龄段上升，75岁以下的患者中占15%，75至84岁的患者中占39%，85岁以上的患者中占47%。所有患者中有36%入院时患有精神病，其中重度抑郁症患者中占28%，痴呆症患者中占48%。视幻觉在痴呆症患者组中明显更为常见。相应地，眼病在有视幻觉的患者中明显更为常见。9名患者入院时有近期攻击行为史。其中4人患有精神病，9人中有8人患有痴呆症。5名患者在入院前曾试图自杀。所有人均被诊断为重度抑郁症。
