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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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