The contemporary natural history of mental disorder in old age

Blessed, G.; Wilson, J. D.; Wilson, I D
July 1982
British Journal of Psychiatry;Jul82, Vol. 141, p59
Academic Journal
journal article
A classificatory system for mental disorders in the elderly proposed by Roth in 1955 was examined in a contemporary population. Ninety per cent of patients could be allocated to the five psychosyndromes originally defined. Examination of outcome in the present sample, at six month and two years, showed important differences. The outlook for patients with paranoid psychoses showed an improvement though for those with affective illness (at 2 years) there was little change. Of special importance was the increased long-term survival of very elderly female patients with senile dementia. This, in conjunction with the general rise in admissions for mental disorders in the aged over the past 25 years, has considerable implications for the future development of psychiatric services for the elderly mentally ill.


Related Articles

  • Characteristics and Needs of Psychiatric Patients With Prolonged Hospital Stay. Afilalo, Marc; Soucy, Nathalie; Xiaoqing Xue; Colacone, Antoinette; Jourdenais, Emmanuelle; Boivin, Jean-Fran├žois // Canadian Journal of Psychiatry;Apr2015, Vol. 60 Issue 4, p181 

    Objective: To describe the characteristics and needs prior to, on admission, during the first month in hospital, at the thirtieth day of hospitalization and posthospital discharge of psychiatric patients occupying acute beds. Methods: This prospective observational study was conducted in 2...

  • New Methodology for Analyzing Fluctuating Unit Activity. Jacobson, Ann K.; Seltzer, Joyce E.; Darn, Eric J. // Nursing Economic$;Jan/Feb99, Vol. 17 Issue 1, p55 

    Presents a method for examining patient turnover in hospitals. Changes in admission and discharge practices; Frequency of turnover of inpatients with shorter lengths of stay; Determination of average daily census and percent of unit occupancy; Development of model illustrating difference...

  • Predictors of duration of admission following an act of deliberate self-harm, a cross section study from Oman. Al Salmi, Muna; Al-Difai, Zakiya; Al Sinawi, Hamed; al Fahdi, Amal // Middle East Journal of Psychiatry & Alzheimers;Nov2016, Vol. 7 Issue 2, p3 

    Objective: This study aims to determine the predictors of the length of inpatient hospital admission following deliberate self-harm (DSH). Method: This is a retrospective study; medical notes for all patients admitted from Jan 20012 to Jan 2014 with DSH were reviewed for sociodemographic...

  • A short-stay ward in a psychiatric hospital. Effect on the hospital caseload. Martin, B. A.; Cermignani, P.; Voineskos, G. // British Journal of Psychiatry;Jul85, Vol. 147, p82 

    The article examines admission patterns and policy at the Clarke Institute of Psychiatry's Primary Care Service (PCS) in Toronto, Ontario. PCS is an integrated out-patient/in-patient emergency service established by the institute to provide both service to the community on demand and to...

  • Verbal learning and memory in elderly depressives. Whitehead, Antonia; Whitehead, A // British Journal of Psychiatry;Aug73, Vol. 123 Issue 573, p203 

    The article presents a study that assesses the task performance involving verbal learning and memory function, of elderly patients suffering from depressive illnesses. The pattern of performance of the depressed patients was compared both with patients with dementing processes and with remitted...

  • The prevalence and diagnostic significance of Schneiderian first-rank symptoms in a random sample of acute psychiatric in-patients. O'Grady, John C.; O'Grady, J C // British Journal of Psychiatry;Apr90, Vol. 156, p496 

    Ninety-nine acute in-patients were interviewed within four days of admission to hospital. The interview included items concerning all 11 first-rank symptoms. Two definitions (wide and narrow) of each first-rank symptom were employed. Three definitions of schizophrenia and a research diagnosis of...

  • The role of zinc in senile dementia. Kenn, C.; Gibb, E. // British Journal of Psychiatry;Aug86, Vol. 149, p221 

    Zinc deficiency has been reported in association with dementia and linked with its pathogenesis. A group of 45 elderly patients admitted to a mental hospital were given diagnoses in accordance with ICD-9, and their fasting plasma zinc levels were recorded. No difference was found in zinc levels...

  • Functional outcome and discharge destination in elderly patients with spinal cord injuries. Gulati, A; Yeo, C J; Cooney, A D; McLean, A N; Fraser, M H; Allan, D B // Spinal Cord;Feb2011, Vol. 49 Issue 2, p215 

    Study design:Retrospective cohort study.Objective:To describe functional outcome and discharge destination of elderly patients with traumatic spinal cord injuries.Setting:National Spinal Injuries Unit, Glasgow, UK.Methods:We collected data for 5 years on all patients >65 years old with a...

  • DETERMINANTS OF INPATIENT PSYCHIATRIC LENGTH OF STAY IN AN URBAN COUNTY HOSPITAL. Compton, Michael T.; Craw, Jason; Rudisch, Bruce E. // Psychiatric Quarterly;Summer2006, Vol. 77 Issue 2, p173 

    This study investigated predictors of length of stay (LOS) for two inpatient psychiatric units (a crisis stabilization unit and a longer-stay milieu unit) in a large, urban, university-affiliated, county hospital. It was hypothesized that three variables would be independently associated with...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics