Neuropsychiatric evaluation in an outpatient setting.

Autor: Feinberg TE; Neurobehavior and Alzheimer's Disease Center, Beth Israel Medical Center, New York, NY 10003, USA., Roane DM, Miner CR, Kaufman H, Cantillon M
Jazyk: angličtina
Zdroj: The Journal of neuropsychiatry and clinical neurosciences [J Neuropsychiatry Clin Neurosci] 1995 Spring; Vol. 7 (2), pp. 145-54.
DOI: 10.1176/jnp.7.2.145
Abstrakt: In a retrospective case review of 336 outpatients who underwent neuropsychiatric evaluations, patients were sorted into five groups: 1) atypical psychiatric; 2) atypical neurological; 3) prior psychiatric/new-onset neurological; 4) prior neurological/new-onset psychiatric; 5) dementia versus pseudodementia. Cluster analysis of 19 presenting complaints differentiated among groups. Post-consultation changes in preconsultation diagnosis occurred frequently overall, with more new case finding for psychiatric than for neurological disorders. For example, mood disorder diagnoses increased from 7.7% to 16.1%. Overall, dementia was the most common postconsultation diagnosis (32.8%). The authors conclude that suspicion for dementia should be high in neuropsychiatric referrals and that mood disorders may be especially common in neuropsychiatric patients.
Databáze: MEDLINE