Geriatric psychiatry consultations in a Turkish university hospital

Yazgan, Izzet Cagri; Kuşçu, M. Kemal; Fıstikçı, Nurhan; Keyvan, Ali; Topçuoğlu, Volkan

doi:10.1017/s1041610205002991

Cited by 11 publications

(6 citation statements)

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“…High referral rates for mood disorder (28%), similar to previous studies which reported a higher rate of referrals to both liaison services in general (25.9%; [8]) and liaison psychogeriatric services (18.4%–30%; [9, 10]).…”

Section: Discussionsupporting

confidence: 86%

Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

Mukaetova‐Ladinska

Cosker

Coppock

et al. 2011

Nursing Research and Practice

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Liaison Old Age Psychiatry services (LOAP) have begun to emerge in the UK and further development of the service is supported by the latest health policies. Since qualitative and quantitative studies in this area are lacking, we have undertaken a detailed quantitative prospective review of referrals to the Newcastle LOAP to evaluate the clinical activity of the service. We report high referral rates and turnover for the LOAP service. Reasons for referral are diverse, ranging from requests for level of care and capacity assessments and transfer to other clinical services to management of behaviour, diagnosis, and treatment. We outline the value of a multidisciplinary model of LOAP activity, including the important role of the liaison nursing team, in providing a rapid response, screening, and followup of high number of clinical referrals to the service.

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Section: Discussionsupporting

confidence: 86%

Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

Mukaetova‐Ladinska

Cosker

Coppock

et al. 2011

Nursing Research and Practice

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“…The prevalence of depression in patients with CHF is high, ranging from 24% to 42%. [2] Depression has been shown to be significantly associated with a declined function, increased hospital readmission, and higher mortality rates in people with CHF. [2] In addition, CHF risk is increased by depression [2] , specifically in those previously at risk for CHF such as systolic hypertension.…”

Section: Introductionmentioning

confidence: 99%

“…[2] Depression has been shown to be significantly associated with a declined function, increased hospital readmission, and higher mortality rates in people with CHF. [2] In addition, CHF risk is increased by depression [2] , specifically in those previously at risk for CHF such as systolic hypertension. [3] A recent study has examined the medical records of 7719 CHD patients, in which depression was found to be related to an increased risk of CHF.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial on the impact of moderate-intensity continuous aerobic exercise on the depression status of middle-aged patients with congestive heart failure

Abdelbasset

Alqahtani

2019

Medicine

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Background:Depression prevalence rates in congestive heart failure (CHF) patients have increased in the last few years. Depression is a leveled and independent risk factor for hospital readmission, decreased function, and patient mortality for patients with CHF. Major depressive disorder can be diagnosed in CHF patients who frequently suffer from sleeplessness, fatigue, and neurovegetative manifestations that extend to depressed patients.Objectives:The aim of this study was to investigate the influence of moderate-intensity continuous aerobic exercise (MICAE) on the depression status in patients with CHF.Methods:Between June and September 2017, 46 patients with CHF who suffered from depression were selected for this study. These patients aged 40 to 60 years, were medically diagnosed with CHF-related illnesses, and physical disabilities. The participating patients were selected from the psychological medicine unit of the University Hospitals. They were randomly classified into 2 groups, each group included 23 patients. The study group underwent MICAE (MICAE) 3 times weekly for 12 weeks, whereas the control group received traditional intervention without any physical exercise.Results:There were no significant differences between the 2 groups regarding baseline characteristics (P >.05). Patients in both groups had a significant decrease in their depression levels. The study group had a greater reduction of 80.9% (P <.05) when compared to a reduction in the control group 46.46% (P <.05).Conclusions:According to the study outcomes, it was concluded that 12 weeks of MICAE has positive effects on the depression status in patients with CHF. The study group who underwent moderate-intensity aerobic exercise had a greater decrease in the depression status of CHF patients when compared to the control group.

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“…It was diagnosed in 31.3% of elderly inpatients who received a psychiatric consultation (22). An AD might be the result of losing a spouse or close kin, physical illnesses, retirement, or financial problems.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders and demographic characteristics among geriatric outpatients in Canakkale State Hospital

Ertekin¹,

Ertekin²,

Şahin³

et al. 2016

Dusunen Adam

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Psychiatric disorders and demographic characteristics among geriatric outpatients in Canakkale State HospitalObjective: The elderly population in Turkey and in the world is progressively increasing and the increase is expected to be more prominent in the future. As the elderly population grows, there will be an increasing demand on health services, resulting in rapidly rising medical, psychiatric, and social healthcare problems.The aim of the present study is to determine the distribution of psychiatric illness, including gender-based differences, demographic characteristics and prevalence within all elderly age groups, among patients visiting the general psychiatry outpatient clinic.Method: This was a retrospective study using the data of the patient registry system for elderly patients who visited the general psychiatry outpatient clinic between September 2013 and February 2014. Patients were ≥65 years of age. Patients' demographic characteristics and their Axis I diagnoses according to DSM-IV-TR were recorded.Results: Of the 1044 patients who visited the general psychiatry outpatient clinic during the 6-month period, 15% (n=158) were aged ≥65 years; 62% of the 158 patients included in the study were female and 38% were male. Depression was present in 41% of patients; 21% had generalized anxiety disorder (GAD); 8% had adjustment disorder (AD), and 7% had schizophrenia. GAD was statistically significantly higher in females and AD was statistically significantly higher in males.Conclusion: Assessing demographic data including common diagnoses and diagnostic differences between genders in elderly patients is important to improve new diagnosis and treatment strategies. Bulgular: Altı aylık süre zarfında genel psikiyatri polikliniğine başvuran 1044 hastanın %15 (n=158)'i 65 yaş ve üzerinde tespit edildi. Çalışmaya alınan 158 hastanın %62'si kadın, %38'i erkekti. En sık görülen hastalıklar sırasıyla %41 depresyon, %21 yaygın anksiyete bozukluğu (YAB), %8 uyum bozukluğu (UB), %7 şizofreniydi.Kadınlarda YAB, erkeklerde ise UB istatistiksel olarak anlamlı derecede yüksek bulundu.Sonuç: Yaşlı hastalarda sıklıkla konulan tanıların bilinmesi, cinsiyetler arası tanı farklılıklarının tespit edilmesi, demografik bulguların değerlendirilmesi bu yaş grubu hastalar için geliştirilecek yeni tanı ve tedavi stratejileri geliştirilmesi açısından oldukça önemlidir.Anahtar kelimeler: Uyum bozukluğu, depresyon, yaygın anksiyete bozukluğu, geriatrik psikiyatri

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Geriatric psychiatry consultations in a Turkish university hospital

Abstract: Turkish geriatric psychiatry consultation patients display similar characteristics to elderly patients from other western countries. The main difference comes from diagnosis of adjustment disorder, which may be related to hospital conditions and strong family ties in developing countries.

Cited by 11 publications

References 5 publications

Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

A randomized controlled trial on the impact of moderate-intensity continuous aerobic exercise on the depression status of middle-aged patients with congestive heart failure

Psychiatric disorders and demographic characteristics among geriatric outpatients in Canakkale State Hospital

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