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Objective: The aim of this study was to investigate admissions to a psychiatry outpatient clinic in an urban area through one year period and analyze sociodemographic characteristics, diagnosis, and treatment protocols of individual patients with an emphasis on age and gender. Material and Method: Patients who applied to University of Health Sciences, Ankara Numune, Education and Research Hospital Kolej Psychiatry outpatient clinic between February 2016 and February 2017 were included in the study. The patient files were retrospectively reviewed in terms of sociodemographic characteristics, diagnoses, treatment protocols and the number of admissions within one year. Results: Retrospective evaluation of hospital records yielded 1247 patients. Among these patients, 66.5% were female and 85.2% were under 65 years old. The most common diagnoses were depressive and anxiety disorders with a percentage of 42% and 40.3%, respectively. Anxiety disorders (66.4%, 33.6%, p<0.001, respectively), depressive disorders (72.7%, 27.3%, p<0.001, respectively) and somatic symptom disorders (90.9%, 9.1%, p=0.007, respectively) were significantly more frequent in females compared to male gender. On the other hand, all psychiatric diagnoses except normal psychiatric examination were significantly higher in patients <65 years old compared to patients ≥65 years of age. There was a positive and moderate correlation between age and number of comorbid conditions (r=0.57, p<0.001) and positive and weak correlation between age and number of psychiatric medications (r=0.07, p=0.006). However, there was no correlation between age and number of control visits. Conclusion: Depressive and anxiety disorders were the most common diagnoses both in adult and elderly patient populations among patients who admitted to a district outpatient clinic of a tertiary hospital within one year period. Female gender admissions were more prevalent than males.

Introduction: The aim of this study was to determine the cognitive function and its influential factors in elderly adults in Turkey. Materials and Methods: 127 patients aged over 65 years referred to a psychiatry outpatient clinic for the first time were included to cross-sectional and descriptive study. Patients were assessed by Carlson Comorbidity index, Montreal Cognitive Assessment Test, Geriatric Depression Scale, Beck Anxiety Inventory, Nottingham Health Profile and Lawton Instrumental Activities of Daily Living Scale. Results: The mean age of the patients was 69.7±4.2 years and 55.1% (n=70) of the participants were female. The primary diagnosis was Generalized Anxiety Disorder in 48.8% and Major depressive disorder in 51.2% of the patients. In multivariate analysis, age (OR:0.759, 95% CI:0.630-0.914, p=0.004), income <3800 TL (OR:14.72, 95% CI:1.78-121.51, p=0.013), medication usage (OR:0.171, 95% CI:0.035-0.845, p=0.030) and Geriatric Depression Scale score (OR:0.876, 95% CI:0.785-0.977, p=0.017) remained as independent predictors of Montreal Cognitive Assessment Test score. Conclusion: In Turkish adults with Generalized Anxiety Disorder or Major depressive disorder who admit to a psychiatry outpatient clinic for the first time, various parameters including age, education, income, leisure activity, medication usage, depression, Lawton Instrumental Activities of Daily Living Scale score and Nottingham Health Profile score are linked with cognitive impairment. However, only age, income, medication usage and depression independently associate with cognitive impairment in this highly specific patient population. Keywords: Cognitive Dysfunction; Geriatric Psychiatry; Depression; Quality of Life.