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Symptom severity and cognitive impairment in chronically hospitalised geriatric patients with affective disorders

Published online by Cambridge University Press:  03 January 2018

Philip D. Harvey. Peter Powchik ,
Michael Parrella ,
Leonard White  and
Michael Davidson
Philip D. Harvey. Peter Powchik*
Affiliation:
Department of Psychiatry, Mt Sinai School of Medicine, New York, USA
Michael Parrella
Affiliation:
Department of Psychiatry, Mt Sinai School of Medicine, New York, USA
Leonard White
Affiliation:
Department of Psychiatry, Mt Sinai School of Medicine, New York, USA
Michael Davidson
Affiliation:
Department of Psychiatry, Mt Sinai School of Medicine, New York, USA
*
Dr Philip D. Harvey. Department of Psychiatry, Box 1229, Mt Sinai School of Medicine, New York, NY10029, USA
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Abstract

Background

Affective disorders typically have a better outcome than schizophrenia, although recent evidence suggests that some patients with affective disorder have a relatively poor outcome, with cognitive impairments and persistent symptomatology.

Method

Fifty chronically hospitalised geriatric patients with mood disorders (major depression or bipolar disorder) were compared on the clinical symptoms and aspects of cognitive impairment with 308 geriatric schizophrenic patients who were hospitalised at the same institution. The two samples did not differ in current age or in premorbid education level, but the affective patients had a later age of onset and more females in the sample.

Results

There were no overall differences in cognitive functioning between the groups, although the clinical symptom profiles resembled those seen in better outcome patients.

Conclusions

Cognitive impairment is present in poor-outcome patients with affective disorders as well as schizophrenia, suggesting that cognitive impairments predict poor outcome across psychiatric disorders and not just in schizophrenia.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 4 , April 1997 , pp. 369 - 374
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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