Unsuspected Emotional and Cognitive Disturbance in Medical Patients

Abstract

Brief Reports1 December 1977Unsuspected Emotional and Cognitive Disturbance in Medical PatientsEDWIN B. KNIGHTS, M.D., MARSHAL F. FOLSTEIN, M.D.EDWIN B. KNIGHTS, M.D., MARSHAL F. FOLSTEIN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-87-6-723 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1944, Christian (1) observed that internists were allowing their concern with complex technology to divert their attention from patients' emotional problems. Romano and Engel (2) have reported the neglect of cognitive deficits as well. Our study was designed to show the prevalence of unsuspected emotional and cognitive disturbances on an acute medical ward and the ease with which these problems can be detected by recently developed screening techniques.All patients admitted to three general medical wards in September 1976, were studied. There were 32 women and 25 men, with a mean age of 55 and a range in age...References1. CHRISTIAN H: The Principles and Practice of Medicine. New York, Appleton-Century-Crofts, 1944, p. 1 Google Scholar2. ENGELRAMONO GJ: Delirium, a syndrome of cerebral insufficiency. J Chronic Dis 9:260, 1959 CrossrefMedlineGoogle Scholar3. FOLSTEINMCHUGH MFP: 'Mini-Mental State.' A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189-198, 1975 CrossrefMedlineGoogle Scholar4. GOLDBERG D: Detection of Illness by Questionnaire. Oxford, Oxford University Press, 1974 Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: The Johns Hopkins Hospital 601 North Broadway Baltimore, MD 21205 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByEpidemiological Perspectives in Psychosomatic and Liaison PsychiatrySmoking Cessation and the Risk of Hyperactive Delirium in Hospitalized Patients: A Retrospective StudyDiagnostic accuracy of a new instrument for detecting cognitive dysfunctionDiagnostic Accuracy of a New Instrument for Detecting Cognitive Dysfunction in an Emergent Psychiatric Population: The Brief Cognitive ScreenEarly Detection of Pneumology Inpatients at Risk of Extended Hospital Stay and Need for Psychosocial TreatmentPsychotherapy in the Medically Ill: A CommentaryPsychotherapy in the medically ill: a commentaryDiagnosis and Treatment of Psychiatric ComplicationsTreatment of Depression in Medical IllnessLack of mental-status changes in patients undergoing total knee arthroplastyThe delirium subtypes: A review of prevalence, phenomenology, pathophysiology, and treatment responseThe role of education in mini-mental state examination: a study in Northeast BrazilAufgaben der Konsiliarpsychiatrie und -psychotherapieDie Häufigkeit psychischer Störungen bei körperlich KrankenDetection and documentation of dementia and delirium in acute geriatric wardsRecorded Delirium in a National Sample of Elderly Inpatients: Potential Implications for RecognitionPsychiatric disorders and vertigoPain in Older Subacute Care Patients: Associations with Clinical Status and TreatmentCognitive dysfunction in the elderly. Why assessment is of practical consequence to anaesthetistsGeneral Health Questionnaire (GHQ) in general hospitals: selecting a set of items using a stepwise hierarchical procedurePain assessment in cognitively impaired and unimpaired older adults: a comparison of four scalesMental disorders among internal medical inpatientsSuicide in Later Life: A Review and Recommendations for PreventionDELIRIUM IN THE TERMINALLY ILLRecognition of psychiatric disorders in nonpsychiatric hospital wardsNursing documentation versus standardized assessment of cognitive status in hospitalized medical patientsCompleted Suicide Among Older Patients in Primary Care Practices: A Controlled StudyDoes myasthenia gravis affect the brain?SUICIDAL PATIENTS IN THE ED: ETHICAL ISSUESMethodological issues of an epidemiological study: From the results of a study on psychological problems seen in outpatients visiting the internal medicine departments of general hospitalsPsychiatric disorders and vertigoTotal Quality Management and Geriatric CareAssessment and treatment of depression in the cancer patientUse of hospital services by AIDS patients with psychiatric illnessNeuropsychological and Pharmacokinetic Assessment of Hospice Inpatients Receiving MorphineMANAGEMENT OF SUICIDAL BEHAVIOR IN THE ELDERLYLiteraturverzeichnisSuicide in later lifeMajor depression in the primary care settingMaking the diagnosis of depression in the primary care settingThe Mini-Mental State Examination in General Medical Practice: Clinical Utility and AcceptancePsychological Morbidity in Obstetric-Gynaecology Patients: Testing the Need for Expanded Psychiatry Services in Obstetric-Gynaecology FacilitiesPrevalence of Psychiatric Disorders in Medical InpatientsTranstornos do h