Rovner B W, Kafonek S, Filipp L, Lucas M J, Folstein M F
Am J Psychiatry. 1986 Nov;143(11):1446-9. doi: 10.1176/ajp.143.11.1446.
A research psychiatrist using a standardized interview found that 94% of a random sample of residents at a large, intermediate-care nursing home had mental disorders according to DSM-III criteria. Primary degenerative dementia and multi-infarct dementia were the most common diagnoses. In addition, the majority of demented patients also had noncognitive symptoms such as delusions and hallucinations, and these residents were significantly more likely to have an associated behavioral disorder than were residents without delusions or hallucinations. Replications of these results would point out the need for major revisions in the funding and delivery of psychiatric care for nursing home residents.
一位从事研究的精神科医生通过标准化访谈发现，在一家大型中级护理院随机抽取的样本中，94%的居民根据《精神疾病诊断与统计手册》第三版（DSM-III）标准患有精神障碍。原发性退行性痴呆和多发性梗死性痴呆是最常见的诊断结果。此外，大多数痴呆患者还伴有妄想和幻觉等非认知症状，而且与没有妄想或幻觉的居民相比，这些居民出现相关行为障碍的可能性要大得多。这些结果若能得到重复验证，将表明有必要对疗养院居民的精神科护理资金投入和服务提供进行重大修订。
