title: Psychopathologic and functional outcome in the treatment of elderly inpatients with depressive disorders, dementia, delirium and psychoses.
abstract: The objectives of this report were to investigate the functional implications and the possible rehabilitation potentials of dementia, delirium, and psychosis in elderly inpatients, compared with that in depression. During 1 year, all patients in a psychogeriatric university clinic were assessed on admission and at discharge with a selection of rating scales and diagnosed according to ICD-10 by consultants with no knowledge of the results of the ratings. All patients who had a principal diagnosis of major depression, dementia, delirium, or a psychosis are discussed. Ratings were made for psychopathology, behavioral disorders, depressive statements, intellectual functioning, activities of daily living, and gait. Depressive and delirious patients improved their status significantly (p < or = .03) in all six assessments, and patients with dementia improved their psychopathology status (p = .002), but the other assessments were unchanged. Results from the small sample (n = 8) of psychotic patients were mainly inconclusive, but there was a tendency for improvement with respect to psychopathology and gait.
authors.affiliation: Department of Psychogeriatrics, Aarhus University Hospital, Denmark. djernes@dadlnet.uni2.dk
authors.forename: J K
authors.initials: JK
authors.lastname: Djernes
authors.forename: N C
authors.initials: NC
authors.lastname: Gulmann
authors.forename: K E
authors.initials: KE
authors.lastname: Abelskov
authors.forename: S
authors.initials: S
authors.lastname: Juul-Nielsen
authors.forename: L
authors.initials: L
authors.lastname: Sørensen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium / Q000534:rehabilitation; D003704:Dementia / Q000534:rehabilitation; D003718:Denmark; D003866:Depressive Disorder / Q000534:rehabilitation; D005260:Female; D005684:Gait; D005852:Geriatric Psychiatry / Q000379:methods / Q000592:standards; D006760:Hospitalization; D006801:Humans; D007360:Intelligence; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D011446:Prospective Studies; D011618:Psychotic Disorders / Q000534:rehabilitation; D016896:Treatment Outcome