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KMID : 0978920020030030029
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Korean Journal of Clinical Geriatrics
2002 Volume.3 No. 3 p.29 ~ p.41
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One-year experience of geriatric mental health clinic in a university hospital
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Cheon Jin-Sook
Song Hae-Ran
Oh Byoung-Hoon
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Abstract
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Background : The history of memory disorders clinic began about 20 years ago. In Korea, the specialist clinic in psychogeriatric area steps into the beginning stage, though the first geriatric mental health clinic started since 1995. Practical information including settings and purposes, diagnoses and assessments, interventions, research and brain banks by reviewing articles and clinical experiences is provided for those who are interested in the memory clinics.
Methods : A clinical data collected from one-year experience(from June 1st, 2001 to May 31st, 2002) in the
’DementiaㆍGeriatric Mental Health Clinic’ established to the Department of Neuropsychiatry, Kosin University Gospel Hospital were analyzed.
Results : 1) The seasonal distribution was not different according to referral 6route such as admission, outpatient, emergency room. Sex distribution was not different between geriatric patients with age over 60 and patients with age below 59 who were referred from admission or emergency room. While males were more prevalent among outpatients with age below 59, females were more among outpatients with age over 60(p=0.000). 2) The frequency of geriatric patients visited to the ’Dementia?Geriatric Mental Health Clinic’ according to psychiatric diagnoses was depression(31.3%), Alzheimer’s disease(26.2%), somatoform disorder(l9.7%), vascular dementia(10.6%), anxiety disorder(3.6%), sleep disorder(3.3%) and alcohol-related disorder(2.7%) in order. 3) The age distribution of geriatric patients visited to the ’Dementia?Geriatric Mental Health Clinic’ according to psychiatric diagnoses revealed that depression was most prevalent among patients with age under 65, while dementia among patients with age over 65(p=0.000). Otherwise, sleep disorder was prevalent among young-old patients(65~74 yrs old), while alcohol-related disorder, somatoform disorder, anxiety disorder was prevalent among presenile age(60~64 yrs old). 4) There was no significant difference in the seasonal distribution according to psychiatric diagnoses for the aged psychiatric patients who had visited ’Dementia?Geriatric Mental Health Clinic’. However, there was significant difference in sex distribution. That is, Alzheimer’ s disease and depression could be found more in females, while vascular dementia in males(p=0.000). Otherwise, alcohol-related disorder and sleep disorder was more prevalent in males, while somatoform disoder and anxiety disorder in females.
Conclusion : A specialized clinical system for the aged psychiatric patients might be needed, because of their age-specific unique features somewhat different from other age groups.
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KEYWORD
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Dementia, Geriatric Mental Health Clinic, Setting, Asessment, Intervention, Research, Brain banks
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