Ford C V, Folks D G
South Med J. 1985 Apr;78(4):397-402. doi: 10.1097/00007611-198504000-00011.
Of a consecutive series of 1,000 psychiatric consultation requests, 195 were for patients 60 years of age or older. The most frequent psychiatric diagnoses assigned by the consultant were organic psychiatric and depressive spectrum disorders. This communication reviews frequently encountered syndromes and the other major clinical issues relevant to geriatric psychiatry and provides illustrative cases. The mental status examination is a sensitive diagnostic tool that can improve the clinician's diagnostic skills. We conclude that screening the elderly medically ill patient for these psychiatric disorders will improve patient care and significantly diminish morbidity.
在连续收到的1000份精神科会诊申请中，有195份是针对60岁及以上患者的。会诊医生给出的最常见精神科诊断是器质性精神障碍和抑郁谱系障碍。本文回顾了老年精神病学中常见的综合征以及其他主要临床问题，并提供了示例病例。精神状态检查是一种敏感的诊断工具，可提高临床医生的诊断技能。我们得出结论，对患有内科疾病的老年患者进行这些精神障碍的筛查将改善患者护理并显著降低发病率。
