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Psychiatric screening on a neurological ward

Published online by Cambridge University Press:  09 July 2009

J. Raymond DePaulo ,
Marshal F. Folstein  and
Barry Gordon
J. Raymond DePaulo*
Affiliation:
Department of Psychiatry and Behavioral Sciences and the Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Marshal F. Folstein
Affiliation:
Department of Psychiatry and Behavioral Sciences and the Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Barry Gordon
Affiliation:
Department of Psychiatry and Behavioral Sciences and the Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
*
1Address for correspondence: Dr J. Raymond DePaulo, Department of Psychiatry, Baltimore City Hospital, Baltimore, Maryland 21224, USA.
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Synopsis

Two psychiatric screening instruments, the Mini-Mental State (MMS), a test for cognitive disturbance, and the General Health Questionnaire (GHQ), were administered to 197 neurological in-patients. The results suggest a high rate of psychiatric disturbance. The highest rate of cognitive disturbance detected by the MMS was found in patients with Parkinson's disease. The highest rates of emotional disturbance indicated by GHQ scores were found in patients with myasthenia gravis and multiple sclerosis. MMS scores but not GHQ scores were related to standardtests of cognition, the diagnosis of cerebral pathology, and CAT scan abnormality. The results also demonstrate that the GHQ does not adequately detect patients with cognitive impairment. It is concluded that in populations at high risk for cognitive impairment a tandem screening procedure utilizing tests for both cognitive and emotional disorders is needed.

Type
Research Article
Information
Psychological Medicine , Volume 10 , Issue 1 , February 1980 , pp. 125 - 132
Copyright
Copyright © Cambridge University Press 1980

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References

Benson, D. F. & Blumer, D. (eds.) (1975). Psychiatric Aspects of Neurological Disease. Grune & Stratton: New York.Google Scholar
Carroll, B. J. (1976). Psychoendocrine relationships in affective disorder. In Modern Trends in Psychosomatic Medicine (ed. Hill, O. W.), pp. 121–153. Butterworth: London.Google Scholar
Chapman, L. F. & Wolff, H. G. (1959). The cerebral hemispheres and the highest integrative function of man. Archives of Neurology 1, 357–424.CrossRefGoogle ScholarPubMed
DePaulo, J. R. & Foistein, M. F. (1978). Psychiatric disturbance in neurological patients: detection, recognition and hospital course. Annals of Neurology 4, 225–228.CrossRefGoogle ScholarPubMed
Derogatis, L. R., Rickles, K. & Rock, A. F. (1976). The SCL-90 and the MMPI: a step in the validation of a new self report scale. British Journal of Psychiatry 128, 280–289.CrossRefGoogle ScholarPubMed
Eastwood, M. R. & Trevelyan, M. H. (1972). Relationship between physical and psychiatric disorder. Psychological Medicine 2, 363–372.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Murphy, E. (1979). Severity of psychiatric disorder and the 30-item General Health Questionnaire. British Journal of Psychiatry 134, 609–616.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975). Mini-Mental State: a practical method for grading the cognitive state of patients for clinicians. Journal of Psychiatric Research 12, 189–198.CrossRefGoogle Scholar
Folstein, M. F., Maiberger, R. & McHugh, P. R. (1977). Mood disorder as a specific complication of stroke. Journal of Neurology, Neurosurgery and Psychiatry 40, 1018–1020.CrossRefGoogle ScholarPubMed
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph no. 21. Oxford University Press: LondonGoogle Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976). Psychiatric morbidity in general practice and the community. Psychological Medicine 6, 565–569.Google Scholar
Goldstein, S. E., Kleinkinecht, R. A. & Gallo, A. E. (1970). Neuropsychological changes associated with carotid endarterectomy. Cortex 6, 308–322.CrossRefGoogle ScholarPubMed
Horn, S. (1974). Some psychological factors in Parkinsonism. Journal of Neurology, Neurosurgery and Psychiatry 37, 27–31.CrossRefGoogle ScholarPubMed
Jacobs, J. W., Bernhard, M. R., Delgado, A. & Strain, J. J. (1977). Screening for organic mental syndromes in the medically ill. Annals of Internal Medicine 86, 40–46.CrossRefGoogle ScholarPubMed
Knights, E. & Folstein, M. F. (1977). Unsuspected psychiatric disturbance in medical patients. Annals of Internal Medicine 87, 723–724.CrossRefGoogle ScholarPubMed
Lishman, W. A. (1978). Organic Psychiatry. Blackwell Scientific Publications: Oxford.Google Scholar
Loranger, A. W. H.. Goodwill, F. H., McDowell, J. E. L. & Sweet, R. D. (1972). Intellectual impairment in Parkinson's syndrome Brain 95, 405–412.Google Scholar
Maguire, G. P., Julier, D. L. & Hawton, K. E. (1974). Psychiatric morbidity and referral on two general medical wards. British Medical Journal i, 286–270.Google Scholar
Martilla, R. J. & Urpo, K. R. (1976). Dementia in Parkinson's disease, Acta neurologica scandinivica 54, 431–441.Google Scholar
Meyer, E. (1966). Psychological disturbances in myasthenia gravis: a predictive study. Annals of the New York Academy of Sciences 135, 417–423.CrossRefGoogle ScholarPubMed
Mindham, R. H. S. (1970). Psychiatric symptoms in Parkinsonism. Journal of Neurology, Neurosurgery and Psychiatry 33, 188–191.Google Scholar
Papazian, O. (1976). Rapid eye movement sleep alterations in myasthenia gravis. Neurology 26, 311–316.Google Scholar
Surridge, D. (1969). An investigation into some psychiatric aspects of multiple sclerosis. British Journal of Psychiatry 115, 749–764.Google Scholar
Trufant, S. A. & Landu, W. M. (1975). Current practices of the American Board of Psychiatry and Neurology (letter). Archives of Neurology 32, 66–68.Google Scholar
Tsai, L. & Tsuang, M. T. (1979). The Mini-Mental State Test and computerized tomography. American Journal of Psychiatry 136, 436–439.Google Scholar