Psychiatric Morbidity in Geriatric in patients with Medical Disorders
Keywords:Elderly, medical disorders, psychiatric morbidity, cognitive impairment, functional status.
Background and objective: People over the age of 65 account for twice the average number of physician interactions and three times the average number of hospital bed days compared to the general population. Geriatric medical patients are distinguished from their younger counterparts by the presence of medical comorbidities and disabilities, rather than by their age, according to research conducted by the American Academy of Pediatrics. The current investigator was unable to locate any published studies that compared psychiatric morbidity in geriatric inpatients with medical diseases to that of adult inpatients with medical disorders in either age group, which was disappointing.The goal is to This study aims to determine the prevalence and nature of psychiatric problems in geriatric inpatients with medical diseases, as well as the relationship between clinical and sociodemographic profiles in this population when compared with that of adult inpatients with medical disorders.Methods: A total of one hundred consecutive geriatric inpatients and fifty consecutive adult inpatients admitted to the medical wards were evaluated in this study. The MINI Plus and Comprehensive Psychopathology Rating Scale (CPRS) were used to assess psychiatric morbidity, the Mini Mental State Examination (MMSE), the Clock Drawing Test (CDT), and the Trail Making Test- B (TMT-B) were used to assess cognitive impairment, and the Bristol Activities of Daily Living Scale was used to assess functional status (BADLS). The Diagnostic Criteria for Research (DCR-10), which is part of the ICD-10 Classification of Mental and Behavioral Disorders, was utilised to determine a psychiatric diagnosis.Results: The prevalence of psychiatric illness in the geriatric population is 26.75 percent, while it is 35 percent in the non-geriatric population. Depressive disorders accounted for 17.5 percent of all mental diseases identified in the elderly, followed by dementia (8.75 percent), anxiety disorder (5 percent), alcohol dependence syndrome (2.5 percent), and organic delusional disorder (0.5 percent) (1.25 percent ). The duration of medical disease, the number of medical diagnoses, cognitive functioning, and functional status all have a substantial impact on the risk of developing psychiatric morbidity. In the elderly, diabetes has a high association with psychopathology. The presence of psychiatric morbidity is not associated with gender, marital status, educational level, or socioeconomic situation.Conclusion: When compared to their younger counterparts with medical problems, elderly inpatients with medical disorders have much more frequent and severe psychopathology, as well as cognitive and functional impairment. But there is no difference in the frequency or character of psychiatric diagnoses in geriatric patients with medical diseases compared to adult patients with medical disorders.
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