Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients
One hundred and fifty randomly selected geriatric medical inpatients were evaluated for the presence of psychological dysfunction using the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria (RDC) methodology. Objective and subjective measures of physical heal...
Gespeichert in:
| Veröffentlicht in: | Journal of consulting and clinical psychology 1988-12, Vol.56 (6), p.851-855 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 855 |
|---|---|
| container_issue | 6 |
| container_start_page | 851 |
| container_title | Journal of consulting and clinical psychology |
| container_volume | 56 |
| creator | Rapp, Stephen R Parisi, Sharon A Walsh, David A |
| description | One hundred and fifty randomly selected geriatric medical inpatients were evaluated for the presence of psychological dysfunction using the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria (RDC) methodology. Objective and subjective measures of physical health status were independently taken and related to the presence of a RDC diagnosis. Results indicated that a large portion of the sample (27.3%) had at least one psychological disorder and that 15.3% of the total sample had a depressive disorder. Comorbid depression was associated with the greatest level of psychological distress and dysfunction and with the poorest physical health status. Finally, depressed elderly patients were less likely than patients with nondepressive psychopathology and control subjects to receive a diagnosis of mental disorder or to receive antidepressant medications during their admission, suggesting that comorbid depression is underrecognized and under-treated in primary care. |
| doi_str_mv | 10.1037/0022-006X.56.6.851 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78585969</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1290454611</sourcerecordid><originalsourceid>FETCH-LOGICAL-a474t-b8965cfdae9aa998ab0804e18834273d8ac4b96a32b4f812dbaefc5c912822573</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EKkvhDyAhRVD1gnaZcWzHPlalpZUK9AASN2viON1U2SS1k0P-Pd7uagUIOM3hfeZD8zD2GmGFkBcfADhfAqgfK6lWaqUlPmELNLlZcsTiKVscgOfsRYz3AIAK5BE7yjkINGLBvtzG2a37tr9rHLXZxznWU-fGpu8y6qrsdj3Hx-DKUzuus7NN391lF23lQztnn331GF53A42N78b4kj2rqY3-1b4es--XF9_Or5Y3Xz9dn5_dLEkUYlyW2ijp6oq8ITJGUwkahEetc8GLvNLkRGkU5bwUtUZeleRrJ51BrjmXRX7MTndzh9A_TD6OdtNE59uWOt9P0RZaammUSeDbP8D7fgpdus0qFDlKBPE_iCMonoOUCXr3Lwi5ASGFQkwU31Eu9DEGX9shNBsKs0WwW2l268RunViprLJJWmp6sx89lRtfHVr2llJ-ss8ppn_XgTrXxANWgEajtxe-32E0kB2SVwpj41of3RRCsmOdG35devJ3-nfsJ_6suIo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>614315104</pqid></control><display><type>article</type><title>Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients</title><source>MEDLINE</source><source>EBSCOhost APA PsycARTICLES</source><source>Periodicals Index Online</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Rapp, Stephen R ; Parisi, Sharon A ; Walsh, David A</creator><contributor>Kazdin, Alan</contributor><creatorcontrib>Rapp, Stephen R ; Parisi, Sharon A ; Walsh, David A ; Kazdin, Alan</creatorcontrib><description>One hundred and fifty randomly selected geriatric medical inpatients were evaluated for the presence of psychological dysfunction using the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria (RDC) methodology. Objective and subjective measures of physical health status were independently taken and related to the presence of a RDC diagnosis. Results indicated that a large portion of the sample (27.3%) had at least one psychological disorder and that 15.3% of the total sample had a depressive disorder. Comorbid depression was associated with the greatest level of psychological distress and dysfunction and with the poorest physical health status. Finally, depressed elderly patients were less likely than patients with nondepressive psychopathology and control subjects to receive a diagnosis of mental disorder or to receive antidepressant medications during their admission, suggesting that comorbid depression is underrecognized and under-treated in primary care.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.56.6.851</identifier><identifier>PMID: 3204194</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Aged ; Biological and medical sciences ; Geriatric Patients ; Geriatrics ; Health ; Health Status ; Hospitalization ; Human ; Humans ; Medical Patients ; Medical sciences ; Mental Disorders ; Mental Disorders - epidemiology ; Older people ; Physical Health ; Psychology ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Social research</subject><ispartof>Journal of consulting and clinical psychology, 1988-12, Vol.56 (6), p.851-855</ispartof><rights>1989 INIST-CNRS</rights><rights>Copyright American Psychological Association Dec 1988</rights><rights>Public Domain</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a474t-b8965cfdae9aa998ab0804e18834273d8ac4b96a32b4f812dbaefc5c912822573</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27850,27905,27906,30980</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7081985$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3204194$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kazdin, Alan</contributor><creatorcontrib>Rapp, Stephen R</creatorcontrib><creatorcontrib>Parisi, Sharon A</creatorcontrib><creatorcontrib>Walsh, David A</creatorcontrib><title>Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>One hundred and fifty randomly selected geriatric medical inpatients were evaluated for the presence of psychological dysfunction using the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria (RDC) methodology. Objective and subjective measures of physical health status were independently taken and related to the presence of a RDC diagnosis. Results indicated that a large portion of the sample (27.3%) had at least one psychological disorder and that 15.3% of the total sample had a depressive disorder. Comorbid depression was associated with the greatest level of psychological distress and dysfunction and with the poorest physical health status. Finally, depressed elderly patients were less likely than patients with nondepressive psychopathology and control subjects to receive a diagnosis of mental disorder or to receive antidepressant medications during their admission, suggesting that comorbid depression is underrecognized and under-treated in primary care.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Geriatric Patients</subject><subject>Geriatrics</subject><subject>Health</subject><subject>Health Status</subject><subject>Hospitalization</subject><subject>Human</subject><subject>Humans</subject><subject>Medical Patients</subject><subject>Medical sciences</subject><subject>Mental Disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Older people</subject><subject>Physical Health</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Social research</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kU1v1DAQhi0EKkvhDyAhRVD1gnaZcWzHPlalpZUK9AASN2viON1U2SS1k0P-Pd7uagUIOM3hfeZD8zD2GmGFkBcfADhfAqgfK6lWaqUlPmELNLlZcsTiKVscgOfsRYz3AIAK5BE7yjkINGLBvtzG2a37tr9rHLXZxznWU-fGpu8y6qrsdj3Hx-DKUzuus7NN391lF23lQztnn331GF53A42N78b4kj2rqY3-1b4es--XF9_Or5Y3Xz9dn5_dLEkUYlyW2ijp6oq8ITJGUwkahEetc8GLvNLkRGkU5bwUtUZeleRrJ51BrjmXRX7MTndzh9A_TD6OdtNE59uWOt9P0RZaammUSeDbP8D7fgpdus0qFDlKBPE_iCMonoOUCXr3Lwi5ASGFQkwU31Eu9DEGX9shNBsKs0WwW2l268RunViprLJJWmp6sx89lRtfHVr2llJ-ss8ppn_XgTrXxANWgEajtxe-32E0kB2SVwpj41of3RRCsmOdG35devJ3-nfsJ_6suIo</recordid><startdate>19881201</startdate><enddate>19881201</enddate><creator>Rapp, Stephen R</creator><creator>Parisi, Sharon A</creator><creator>Walsh, David A</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>19881201</creationdate><title>Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients</title><author>Rapp, Stephen R ; Parisi, Sharon A ; Walsh, David A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a474t-b8965cfdae9aa998ab0804e18834273d8ac4b96a32b4f812dbaefc5c912822573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Geriatric Patients</topic><topic>Geriatrics</topic><topic>Health</topic><topic>Health Status</topic><topic>Hospitalization</topic><topic>Human</topic><topic>Humans</topic><topic>Medical Patients</topic><topic>Medical sciences</topic><topic>Mental Disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Older people</topic><topic>Physical Health</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Social research</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rapp, Stephen R</creatorcontrib><creatorcontrib>Parisi, Sharon A</creatorcontrib><creatorcontrib>Walsh, David A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 01</collection><collection>Periodicals Index Online Segment 04</collection><collection>Periodicals Index Online Segment 29</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - West</collection><collection>Primary Sources Access (Plan D) - International</collection><collection>Primary Sources Access & Build (Plan A) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Midwest</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Northeast</collection><collection>Primary Sources Access (Plan D) - Southeast</collection><collection>Primary Sources Access (Plan D) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Southeast</collection><collection>Primary Sources Access (Plan D) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - UK / I</collection><collection>Primary Sources Access (Plan D) - Canada</collection><collection>Primary Sources Access (Plan D) - EMEALA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - North Central</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - International</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - International</collection><collection>Primary Sources Access (Plan D) - West</collection><collection>Periodicals Index Online Segments 1-50</collection><collection>Primary Sources Access (Plan D) - APAC</collection><collection>Primary Sources Access (Plan D) - Midwest</collection><collection>Primary Sources Access (Plan D) - MEA</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - Canada</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - EMEALA</collection><collection>Primary Sources Access & Build (Plan A) - APAC</collection><collection>Primary Sources Access & Build (Plan A) - Canada</collection><collection>Primary Sources Access & Build (Plan A) - West</collection><collection>Primary Sources Access & Build (Plan A) - EMEALA</collection><collection>Primary Sources Access (Plan D) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - Midwest</collection><collection>Primary Sources Access & Build (Plan A) - North Central</collection><collection>Primary Sources Access & Build (Plan A) - Northeast</collection><collection>Primary Sources Access & Build (Plan A) - South Central</collection><collection>Primary Sources Access & Build (Plan A) - Southeast</collection><collection>Primary Sources Access (Plan D) - UK / I</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - APAC</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - MEA</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rapp, Stephen R</au><au>Parisi, Sharon A</au><au>Walsh, David A</au><au>Kazdin, Alan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1988-12-01</date><risdate>1988</risdate><volume>56</volume><issue>6</issue><spage>851</spage><epage>855</epage><pages>851-855</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>One hundred and fifty randomly selected geriatric medical inpatients were evaluated for the presence of psychological dysfunction using the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria (RDC) methodology. Objective and subjective measures of physical health status were independently taken and related to the presence of a RDC diagnosis. Results indicated that a large portion of the sample (27.3%) had at least one psychological disorder and that 15.3% of the total sample had a depressive disorder. Comorbid depression was associated with the greatest level of psychological distress and dysfunction and with the poorest physical health status. Finally, depressed elderly patients were less likely than patients with nondepressive psychopathology and control subjects to receive a diagnosis of mental disorder or to receive antidepressant medications during their admission, suggesting that comorbid depression is underrecognized and under-treated in primary care.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>3204194</pmid><doi>10.1037/0022-006X.56.6.851</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-006X |
| ispartof | Journal of consulting and clinical psychology, 1988-12, Vol.56 (6), p.851-855 |
| issn | 0022-006X 1939-2117 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78585969 |
| source | MEDLINE; EBSCOhost APA PsycARTICLES; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Aged Biological and medical sciences Geriatric Patients Geriatrics Health Health Status Hospitalization Human Humans Medical Patients Medical sciences Mental Disorders Mental Disorders - epidemiology Older people Physical Health Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Social research |
| title | Psychological Dysfunction and Physical Health Among Elderly Medical Inpatients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T08%3A53%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Psychological%20Dysfunction%20and%20Physical%20Health%20Among%20Elderly%20Medical%20Inpatients&rft.jtitle=Journal%20of%20consulting%20and%20clinical%20psychology&rft.au=Rapp,%20Stephen%20R&rft.date=1988-12-01&rft.volume=56&rft.issue=6&rft.spage=851&rft.epage=855&rft.pages=851-855&rft.issn=0022-006X&rft.eissn=1939-2117&rft.coden=JCLPBC&rft_id=info:doi/10.1037/0022-006X.56.6.851&rft_dat=%3Cproquest_cross%3E1290454611%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=614315104&rft_id=info:pmid/3204194&rfr_iscdi=true |