Publication: Marmara Üniversitesi Hastanesi Psikiyatri Anabilim Dalı Bellek Bozuklukları Polikliniğinin veri dökümü
Abstract
Geriyatrik psikiyatri giderek önem kazanan bir psikiyatri özel dalıdır. Demans sendromları da bu özel dalın ilgilendiği başlıca konulardandır. Ne yazık ki ülkemizde halen bir çok psikiyatri bölümü geriyatrik psikiyatriye gereken önemi vermemektedirler.Geiyatrik psikiyatristlerin demans ile ilgilenen diğer uzmanlara göre avantajları ve dezavantajları bulunmaktadır. Özellikle demansın diğer psikiyatrik sendromlardan ayırıcı tanısını yapabilmek, davranışsal belirtileri daha iyi tanımlayabilmek, psikotrop ilaçların kullanılmasındaki deneyim, yaşlı ile ilişkide deneyim ve bakım verenlerin psikiyatrik sorunları ile baş edebilme bu avantajlardandır. Bu çalışmada geriyatrik psikiyatri birimince yürütülen bir bellek bozuklukları polikliniğinin on üç aylık verilerinin dökümü sunulmaktadır. Demografik veriler, tanı dağılımı, davranışsal belirtilerin sıklığı ve tedavi seçenekleri sunulmaktadır. Değerlendirilen 54 hastanın yaş ortalaması 73,96 iken, bu hastaların % 70’ine DSM-IV demans tanısı konulmuştur. Hastaların % 64’ü Global Yıkım Ölçeği evre 5 ve üstü olarak değerlendirildi. İleri evre skorları ile paralel olarak davranışsal belirtilerin sıklığı anlamlı derecede yüksek bulundu. Demans hastalarının %74’ü kolinesteraz inhibitörü almakta idi. . Bu veri sunumu ülkemizde geriyatrik psikiyatri birimi tarafından yürütülen bellek bozuklukları polikliniğine ait ilk bildiridir. Geriyatrik psikiyatristler demans izlemi için demans hastalarının refere edilebileceği başlıca uzmanlardandırlar.
Geriatric psychiatry is a subspeciality which is gaining importance recently. Dementia syndromes are among the major subjects of this subspeciality. Unfortunately most of the psychiatry departments in our country have not given enough consideration to this subspeciality yet. Geriatric psychiatrist has advantages or disadvantages when compared with other specialist managing dementia. Making differential diagnosis of dementia from other psychiatric conditions, identifying behavioral symptoms better, experience with administeration of psychotropic medications, experience in rapport with elderly and managing caregiver distress more skillfully may be counted as advantages. In this study, data of a geriatric psychiatry memory disorders clinic for thirteen months are presented. Demographical information, distribution of diagnosis, frequency of behavioral disorders and choices of treatment are presented. Mean age of 54 patients was 73,96. Seventy percent of these patients fullfilled the DSM-IV diagnostic criteria for dementia. Sixty four percent of patients were in phase 5 or over on Global Deterioration Scale. Frequency of behavioral symptoms were found significantly higher correlated with higher phases. Seventy four percent of dementia patients were prescribed cholinesterase inhibitors. This presentation is the first report of the data of a geriatric psychiatry memory disorder clinic in our country. Geriatric psychiatrists are among the major specialists to whom dementia patients may be referred.
Geriatric psychiatry is a subspeciality which is gaining importance recently. Dementia syndromes are among the major subjects of this subspeciality. Unfortunately most of the psychiatry departments in our country have not given enough consideration to this subspeciality yet. Geriatric psychiatrist has advantages or disadvantages when compared with other specialist managing dementia. Making differential diagnosis of dementia from other psychiatric conditions, identifying behavioral symptoms better, experience with administeration of psychotropic medications, experience in rapport with elderly and managing caregiver distress more skillfully may be counted as advantages. In this study, data of a geriatric psychiatry memory disorders clinic for thirteen months are presented. Demographical information, distribution of diagnosis, frequency of behavioral disorders and choices of treatment are presented. Mean age of 54 patients was 73,96. Seventy percent of these patients fullfilled the DSM-IV diagnostic criteria for dementia. Sixty four percent of patients were in phase 5 or over on Global Deterioration Scale. Frequency of behavioral symptoms were found significantly higher correlated with higher phases. Seventy four percent of dementia patients were prescribed cholinesterase inhibitors. This presentation is the first report of the data of a geriatric psychiatry memory disorder clinic in our country. Geriatric psychiatrists are among the major specialists to whom dementia patients may be referred.