Display options
Share it on

Indian J Psychol Med. 2016 Sep-Oct;38(5):404-407. doi: 10.4103/0253-7176.191373.

Profile of Patients Attending Psychogeriatric Clinic in a Tertiary Care Setting.

Indian journal of psychological medicine

Suresh Neethu, P V Indu, Prabhakaran Anil

Affiliations

  1. Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India.

PMID: 27833221 PMCID: PMC5052951 DOI: 10.4103/0253-7176.191373

Abstract

BACKGROUND: Proportion of elderly is increasing among the total population of Kerala, and mental health problems of this group are unique.

OBJECTIVES: To assess the clinical and sociodemographic profile of patients attending Psychogeriatric Clinic in a tertiary care center and to study the correlation of sociodemographic and clinical variables with psychiatric diagnoses in this population.

MATERIALS AND METHODS: A retrospective chart review of patients, who attended the Psychogeriatric Clinic of a tertiary care center over a period of 1 year, was done. The Institutional Ethics Committee discussed and waived clearance for the review.

RESULTS: There were 85 cases with a mean age of 69.5 years (standard deviation-7.36). Majority of them were females (56.5%) and belonged to low socioeconomic status (52.9%). Comorbid physical illnesses were seen in 76.5% cases. Diagnoses were made by Junior Residents in Psychiatry and confirmed by a qualified psychiatrist, as per International Classification of Diseases-10 criteria. The most common psychiatric diagnosis was organic mental disorders (24.7%), which included dementias, delirium, and organic mood disorders. This was followed by bipolar affective disorders (22.4%), schizophrenia and related disorders (20.0%), depressive and anxiety disorders (17.6%) and mental and behavioral disorders due to substance use (2.4%). Occurrence of organic psychiatric disorders showed positive correlation with age (Spearman's ρ =0.253,

CONCLUSIONS: Organic psychiatric disorders are more common in elderly patients attending a tertiary care center. Comorbid physical illnesses are seen in more than three-fourths of this population. Organic psychiatric disorders are seen more commonly with increasing age and occurrence of hypertension.

Keywords: Geriatric mental health; major neurocognitive disorders; organic psychiatric disorders

References

  1. Indian J Psychol Med. 2012 Jan;34(1):39-43 - PubMed
  2. Indian J Med Res. 2013 Oct;138(4):504-14 - PubMed
  3. Psychosom Med. 2014 Sep;76(7):497-502 - PubMed
  4. Indian J Psychiatry. 2006 Apr;48(2):88-94 - PubMed
  5. PLoS One. 2009 Sep 28;4(9):e7185 - PubMed
  6. Br J Psychiatry. 2001 Jan;178(1):29-35 - PubMed

Publication Types