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The prevalence of psychiatric morbidity in general hospital inpatients

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TLDR
The aim of this study was to examine the prevalence of psychiatric morbidity in a sample of medical and surgical inpatients in an Australian general hospital, and the estimated prevalence was 30% using the 60-item General Health Questionnaire.
Abstract
The aim of this study was to examine the prevalence of psychiatric morbidity in a sample of medical and surgical inpatients in an Australian general hospital. Using the 60-item General Health Questionnaire, the estimated prevalence was 30% (previous studies have yielded estimates generally between 20 and 50%). The prevalence of morbidity was significantly higher in medical (45%) than in surgical (23%) inpatients. Twelve percent of patients (20% of medical patients and 8% of surgical patients) satisfied DSM-III criteria for a current Major Depressive Episode. Anxiety scores on the State-Trait Anxiety Inventory were higher than those reported in general population samples. There were no significant differences between males and females on any scores. The problems associated with the definition and identification of depressive and anxiety syndromes in medical and surgical inpatients are discussed, whilst the importance of this task is emphasized.

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Citations
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Randomized Trial of Coordinated Psychosocial Interventions Based on Patient Self-Assessments Versus Standard Care to Improve the Psychosocial Functioning of Patients With Cancer

TL;DR: Making patient-reported cancer needs, quality-of-life (QOL), and psychosocial information available to the health care team at a single consultation does not seem to reduce cancer needs nor improve QOL, psychossocial functioning, or satisfaction with the care received, however, identification of patients with moderate or severe levels of depression may be valuable in reducing subsequent levels of Depression.
Journal ArticleDOI

Mental disorders among internal medical inpatients: prevalence, detection, and treatment status.

TL;DR: The prevalence of mental disorders among internal medical inpatients is high and increased in young patients and women, and both detection and referral are low, and few are treated.
Journal ArticleDOI

Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients.

TL;DR: There was significant impairment of health-related quality of life (SF36 scores) in cases and, to a lesser extent, in subthreshold cases compared to controls, indicating the need for future intervention studies.
References
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Journal ArticleDOI

“Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician

TL;DR: A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.

A practical method for grading the cognitive state of patients for the clinician

TL;DR: The Mini-Mental State (MMS) as mentioned in this paper is a simplified version of the standard WAIS with eleven questions and requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
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The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

TL;DR: The CES-D scale as discussed by the authors is a short self-report scale designed to measure depressive symptomatology in the general population, which has been used in household interview surveys and in psychiatric settings.
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An inventory for measuring depression

TL;DR: The difficulties inherent in obtaining consistent and adequate diagnoses for the purposes of research and therapy have been pointed out and a wide variety of psychiatric rating scales have been developed.

Manual for the State-Trait Anxiety Inventory

TL;DR: The STAI as mentioned in this paper is an indicator of two types of anxiety, the state and trait anxiety, and measure the severity of the overall anxiety level, which is appropriate for those who have at least a sixth grade reading level.