PSYCHIATRIC SCREENING ON A NEUROLOGICAL WARD
PSYCHIATRIC SCREENING ON A NEUROLOGICAL WARD
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DOI：
10.1017/s0033291700039659
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发表时间：
1980-01-01
影响因子：
6.9
通讯作者：
GORDON, B
中科院分区：
文献类型：
--
作者：
DEPAULO, JR;FOLSTEIN, MF;GORDON, B
两个精神病筛查工具，简易精神状态（MMS），认知障碍的测试，和一般健康问卷（GHQ），管理197神经系统住院患者。结果表明精神障碍的发生率很高。MMS检测到的认知障碍发生率最高的是帕金森病患者。GHQ评分显示，重症肌无力和多发性硬化患者的情绪障碍发生率最高。MMS评分与认知功能标准测验、脑病理诊断和CAT扫描异常有关，而GHQ评分与此无关。结果还表明，GHQ不能充分检测认知障碍患者。它的结论是，在人群中的认知障碍的高风险的串联筛查程序，利用测试认知和情绪障碍是必要的。
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.