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Multiphasic Screening Programme for Somatic Diseases Among Elderly Long-Term Psychiatric Patients

Published online by Cambridge University Press:  29 January 2018

Knut Gjesdal
Affiliation:
Institute of Clinical Medicine
Johan H. Strømme
Affiliation:
Institute of Medical Biology, University of Tromsø, Tromsø, Norway

Extract

Older people in institutions are often disabled by physical disease (Wilson et al., 1962). Psychiatric patients, in general, have more somatic disorders than mentally healthy people (Westrin, 1961; Shepherd et al., 1964; Maguire and Granville-Grossman, 1968). In fact, most elderly long-term psychiatric patients in hospital suffer from one or more somatic disorders (Ask, 1962). Even a small improvement in the general health of these patients may be of importance for their daily life activities, and also reduce the requirements for assistance. An established regular somatic screening of these patients will help to detect disease which otherwise may be over-looked.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1974 

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References

Ahlvin, R. C. (1970). ‘Biochemical screening—a critique.New England Journal of Medicine, 283, 1084—6.CrossRefGoogle ScholarPubMed
Ask, O. (1962). ‘Den somatiska morbiditeten hos mentalsjukhusklientelet.Svenska Läkartidningen, 59, 3481—6.Google Scholar
Beaumont, J. L., Carlson, A., Cooper, G. R., Fejfar, Z., Fredrickson, D. S., and Strasser, T. (1970). ‘Classification of hyperlipidaemias and hyperlipo-proteinaemias.Bulletin of World Health Organization, 43, 891908.Google Scholar
Borchgrevink, C. F., Heist⊘, H., and Reksten, K. R. (1965). ‘Senkningsreaksjon som screening test for blodgivere.Nordisk Median, 28, 1079—81.Google Scholar
Brandbero, Å., Swartlino, P. G., Herner, B., and Vahlne, G. (1970). ‘Urinvägsinfektion hos den vuxna befolkningen i en svensk stad.Svenska Läkartidningen, 67, 2655—62.Google Scholar
Carney, M. W. P. (1967). ‘Serum folate values in 423 psychiatric patients.British Medical Journal, iv, 512—16.Google Scholar
Cochrane, A. L., and Holland, W. W. (1971). ‘Validation of screening procedures.British Medical Bulletin, 27, 38 Google Scholar
Coffey, J. W., Heath, R. G., and Guschwan, A. F. (1970). ‘Serum creatine kinase, aldolase and copper in acute and chronic schizophrenics.Biological Psychiatry, 2, 331—9.Google ScholarPubMed
Collen, M. F., Kidd, P. H., Feldman, R., and Cutler, J. L. (1969). ‘Cost analysis of a multiphasic screening program.New England Journal of Medicine, 280, 1043—5Google Scholar
Cunnick, W. R., Cromie, J. B., Cortell, R., Wright, B., Beach, E., Seltzer, F., and Miller, S. (1972). ‘Value of biochemical profiling in a periodic health examination program; analysis of 1,000 cases,Bulletin of the New York Academy of Medicine, 48, 522.Google Scholar
Dontas, A. S., Papanayiotou, P., Marketos, S., Papanico, N., and Economou, P. (1966). ‘Bacteriuria in old ages.Lancet, ii, 305—6.Google Scholar
Edwin, E., Holten, K., Norum, K., Schrumpf, A., and Skauo, O. E. (1965). ‘Vitamin B12 hypovitaminosis in mental disease.’ Acta Medica Scandinavica, 177, 689—99.CrossRefGoogle Scholar
Feinleib, M., and Zelen, M. (1969). ‘Some pitfalls in the evaluation of screening programs.Archives of Environmental Health, 19, 412—15.CrossRefGoogle ScholarPubMed
Flocks, R. H. (1970). ‘Urinary tract infection.Medical Clinics of North America, 54, 397410.Google Scholar
Hällstrom, T. (1969). ‘Serum B12 and folate concentrations in mental patients.’ Acta Psychiatrica Scandinavica, 45, 1936.Google Scholar
Henderson, J. H. (1966). ‘Anaemia in patients in a psychiatric hospital.Gerontologica Clinica, 8, 226—33.Google Scholar
Henderson, J. G., Strachan, R. W., Beck, J. S., Dawson, A. A., and Daniel, M. (1966). ‘The antigastric-antibody test as a screening procedure for vitamin B12 deficiency in psychiatric practice.’ Lancet, ii, 809—13.Google Scholar
Hendrie, H. C., Paraskevas, F., and Varsamb, J. (1972). ‘Gamma globulin levels in psychiatric patients.Canadian Medical Association Journal, 17, 93—7.Google Scholar
Hunter, R., Jones, M., Jones, T. G., and Matthews, D. M. (1967). ‘Serum B12 and folate concentrations in mental patients.’ British Journal of Psychiatry, 113, 1291—5.CrossRefGoogle Scholar
Hurdle, A. D. F., and Williams, T. C. P. (1966). ‘Folic acid deficiency in elderly patients admitted to hospital.British Medical Journal, ii, 202—5.Google Scholar
Jarvik, M. E. (1968). ‘Drugs used in the treatment of psychiatric disorders’, in The Pharmacological Basis of Therapeutics (eds. Goodman, I. S., and Gilman, A.), 3rd ed., pp. 159214.Google Scholar
Johnson, D. A. W. (1968). ‘The evaluation of routine physical examination in psychiatric cases.Practitioner, 200, 686—91.Google ScholarPubMed
Källstr⊘m, B., and Nyl⊘f, R. (1969). ‘Vitamin B12 and folic acid in psychiatric disorders.’ Acta Psychiatrica Scandinavica, 45, 137—52.Google Scholar
Kass, E. H. (1960). ‘The role of asymptomatic bacteriuria in the pathogenesis of pyelonephritis’, in Biology of Pyelonephritis (eds. Quinn, E. L., and Kass, E. H.), p. 399. Little, Brown and Co. Google Scholar
Kass, E. H. (1962). ‘Pyelonephritis and bacteriuria. A major problem in preventive medicine.Annals of Internal Medicine, 56, 4653.Google Scholar
Kemp, I. W., Waddell, G. F., and Wood, J. (1969). ‘Physical morbidity in a mental hospital.Health Bulletin, 27, 2932.Google Scholar
Korvin, C. C., and Pearce, R. H. (1971). ‘Laboratory screening—a critical survey.Canadian Medical Association Journal, 105, 1053—5.Google Scholar
Lapides, J., Hodgson, N. B., Boyd, R. E., Shook, E. L., and Lichtward, J. R. (1958). ‘Further observations on pharmacologic reaction of the bladder.Journal of Urology, 79, 707—13Google Scholar
Lund, F., and Sallmander, U. (1971). ‘Asymptomatisk bakteriuria hos hälsoundersökta kvinnor i seniet.Svenska Läkartidningen, 68, 833—40.Google Scholar
Mabeck, C. E. (1969). ‘Studies in urinary tract infections. I. The diagnosis of bacteriuria in women.Acta Medica Scandinavica, 186, 35—8.Google Scholar
Maouire, G. P., and Granville-Grossman, K. L. (1968). ‘Physical illness in psychiatric patients.British Journal of Psychiatry, 115, 1365—9.Google Scholar
Meltzer, H. Y. (1969). ‘Muscle enzyme release in the acute psychoses.Archives of General Psychiatry, 21 102–12.Google Scholar
Meltzer, H. Y. Mrozak, S., and Boyer, M. (1970). ‘Effect of intramuscular injections on serum creatine Phosphokinase activity.American Journal of Medical Sciences,CrossRefGoogle Scholar
Moss, M. L., Horton, C. A., and White, J. C. (1971). ‘Clinical biochemistry.Annual Review of Biochemistry, 40, 573604 Google Scholar
Pole, J. D. (1971). ‘The cost—effectiveness of screening.Proceedings of the Royal Society of Medicine, 64, 1256—7.Google Scholar
Reynolds, E. H. (1968). ‘Mental effects of anticonvulsants, and folic acid metabolism.Brain, 91, 196214.CrossRefGoogle ScholarPubMed
Shand, D. G., O'Grady, F., Nimmon, C. C., and Cattell, W. R. (1970). ‘Relation between residual urine volume and response to treatment of urinary infection.Lancet, i, 1305—6.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C., and Kalton, G. W. (1964). Psychiatric Illness in General Practice. Oxford.Google Scholar
Shulman, R. (1967). ‘A survey of vitamin B12 deficiency in an elderly psychiatric population.’ British Journal of Psychiatry, 113, 241—51.Google Scholar
Skaug, O. E. (1971). ‘Somatiske funn ved innleggelse i psykiatriske sykehus.Sandoz-informasjon fra forskning og praksis, 13.Google Scholar
Solomon, G. F., Allansmith, M., McClellan, B., and Amkraut, A. (1969). ‘Immunoglobulins in psychiatric patients.Archives of General Psychiatry, 20, 272—7.CrossRefGoogle ScholarPubMed
Straghan, R. W., and Henderson, J. G. (1967). ‘Dementia and folate deficiency.Quarterly Journal of Medicine, New Series, 36, 189204.Google Scholar
Waters, W. E., Elwood, P. C., Asscher, A. W., and Abernathy, M. (1970). ‘Clinical significance of dysuria in women.British Medical Journal, ii, 754—7.Google Scholar
Westrin, C. G. (1961). ‘Somatiske sjukdomar hos psykiatriske patienter. En analys av ett klinikmaterial.Soenska Läkartidningen, 58, 2907—17.Google Scholar
Wilson, L. A., Lawson, I. R., and Brass, W. (1962). ‘Multiple disorders in the elderly. A clinical and statistical study.Lancet, ii, 841—3.Google Scholar
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