Vitamin B12 and folate status in acute geropsychiatric inpatients: affective and cognitive characteristics of a vitamin nondeficient population

This chart review study examined the serum vitamin B12 and folate status of 102 geriatric patients newly admitted to a private psychiatric hospital. Only 3.7% were B12 deficient and 1.3% were folate deficient; 4% were anemic. Nevertheless, those with below-median values of both vitamins had signific...

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Veröffentlicht in:Biological psychiatry (1969) 1990-01, Vol.27 (2), p.125-137
Hauptverfasser: BELL, I. R, EDMAN, J. S, MARBY, D. W, SATLIN, A, DREIER, T, LIPTZIN, B, COLE, J. O
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container_end_page 137
container_issue 2
container_start_page 125
container_title Biological psychiatry (1969)
container_volume 27
creator BELL, I. R
EDMAN, J. S
MARBY, D. W
SATLIN, A
DREIER, T
LIPTZIN, B
COLE, J. O
description This chart review study examined the serum vitamin B12 and folate status of 102 geriatric patients newly admitted to a private psychiatric hospital. Only 3.7% were B12 deficient and 1.3% were folate deficient; 4% were anemic. Nevertheless, those with below-median values of both vitamins had significantly lower Mini-Mental State scores than patients higher in one or both vitamins. Patients with "organic psychosis" with a negative family history for psychiatric disorder had significantly lower B12 levels than those with a positive family history. In major depression, folate levels correlated negatively with age at onset of psychiatric illness and length of hospitalization. These data suggest that (1) biochemically interrelated vitamins such as B12 and folate may exert both a separate and a concomitant influence on affect and cognition; (2) poorer vitamin status may contribute to certain geropsychiatric disorders that begin at a later age and lack a familial predisposition.
doi_str_mv 10.1016/0006-3223(90)90642-F
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These data suggest that (1) biochemically interrelated vitamins such as B12 and folate may exert both a separate and a concomitant influence on affect and cognition; (2) poorer vitamin status may contribute to certain geropsychiatric disorders that begin at a later age and lack a familial predisposition.</description><identifier>ISSN: 0006-3223</identifier><identifier>EISSN: 1873-2402</identifier><identifier>DOI: 10.1016/0006-3223(90)90642-F</identifier><identifier>PMID: 2294976</identifier><identifier>CODEN: BIPCBF</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Affective Disorders, Psychotic - blood ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bipolar Disorder - blood ; Cognition Disorders - blood ; Depressive Disorder - blood ; Female ; Folic Acid - blood ; Hospitalization ; Humans ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Neurocognitive Disorders - blood ; Psychology. 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Patients with "organic psychosis" with a negative family history for psychiatric disorder had significantly lower B12 levels than those with a positive family history. In major depression, folate levels correlated negatively with age at onset of psychiatric illness and length of hospitalization. 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Psychiatry</topic><topic>Retrospective Studies</topic><topic>Techniques and methods</topic><topic>Vitamin B 12 - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BELL, I. R</creatorcontrib><creatorcontrib>EDMAN, J. S</creatorcontrib><creatorcontrib>MARBY, D. W</creatorcontrib><creatorcontrib>SATLIN, A</creatorcontrib><creatorcontrib>DREIER, T</creatorcontrib><creatorcontrib>LIPTZIN, B</creatorcontrib><creatorcontrib>COLE, J. O</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>MEDLINE - Academic</collection><jtitle>Biological psychiatry (1969)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BELL, I. 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Nevertheless, those with below-median values of both vitamins had significantly lower Mini-Mental State scores than patients higher in one or both vitamins. Patients with "organic psychosis" with a negative family history for psychiatric disorder had significantly lower B12 levels than those with a positive family history. In major depression, folate levels correlated negatively with age at onset of psychiatric illness and length of hospitalization. These data suggest that (1) biochemically interrelated vitamins such as B12 and folate may exert both a separate and a concomitant influence on affect and cognition; (2) poorer vitamin status may contribute to certain geropsychiatric disorders that begin at a later age and lack a familial predisposition.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>2294976</pmid><doi>10.1016/0006-3223(90)90642-F</doi><tpages>13</tpages></addata></record>
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subjects Affective Disorders, Psychotic - blood
Aged
Aged, 80 and over
Biological and medical sciences
Bipolar Disorder - blood
Cognition Disorders - blood
Depressive Disorder - blood
Female
Folic Acid - blood
Hospitalization
Humans
Length of Stay
Male
Medical sciences
Middle Aged
Miscellaneous
Neurocognitive Disorders - blood
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Retrospective Studies
Techniques and methods
Vitamin B 12 - blood
title Vitamin B12 and folate status in acute geropsychiatric inpatients: affective and cognitive characteristics of a vitamin nondeficient population
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