Ruskin P E
Am J Psychiatry. 1985 Mar;142(3):333-6. doi: 10.1176/ajp.142.3.333.
The author describes the evaluation and treatment of 67 patients 60 years old or older who were referred to a consultation-liaison service in a university hospital. Age, sex, referring service, reasons for referral, psychiatric diagnosis, and interventions or recommendations were determined. Primary psychiatric diagnoses included depression (24%), dementia (19%), delirium (18%), schizophrenia (16%), and personality disorders (12%). Recommendations or interventions included advice in the use of psychotropic medications (61%), assistance with competency issues (25%), recommendation for further medical evaluation or treatment (36%), individual psychotherapy (28%), family therapy (25%), disposition planning (24%), and transfer to a geropsychiatry unit (12%). Hospitalized elderly patients with emotional problems represent a unique diagnostic and therapeutic challenge.
作者描述了67名60岁及以上患者的评估与治疗情况，这些患者被转介至一家大学医院的会诊-联络服务部门。确定了患者的年龄、性别、转介科室、转介原因、精神科诊断以及干预措施或建议。主要精神科诊断包括抑郁症（24%）、痴呆症（19%）、谵妄（18%）、精神分裂症（16%）和人格障碍（12%）。建议或干预措施包括使用精神药物的建议（61%）、能力问题方面的协助（25%）、进一步医学评估或治疗的建议（36%）、个体心理治疗（28%）、家庭治疗（25%）、出院计划（24%）以及转至老年精神科病房（12%）。患有情绪问题的住院老年患者面临着独特的诊断和治疗挑战。
