Dr. Tiple Prashant Gokul, Dr. A.P. Jain


Background – Geriatric patients suffer from many physical disorders but no research work has been done regarding severity of psychiatric
disorders amongst geriatric patients having medical
Objective – The aims of this study were to know types and severity of mental disorders in geriatric patients .
Method – The DSM IV –TR criterion were used for diagnosis . For assessment of severity of common mental disorders following scales likes
GDS, HAM-A, PANSS, YMRS, Y- BOCS, and BLS- D were used.
Results – In group A, paranoid schizophrenia was the commonest mental disorder and majority of them have moderate severity.
In group B depressive type of mood disorder due to general medical conditions was the
commonest mental disorder and majority of patients had moderate severity. The study further shows that geriatric patients with physical disorder
were more depressed than those geropsychiatric patients who had only depressive disorders.
Interpretations and conclusions – The study shows that geriatric patients with physical disorders were more at risk of consequences of
depression like self harm or suicide .


Geriatric, Mental Disorders, Severity, Physical Disorders.

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.Ministry of Health and family Welfare Government of India Annual report, Health

Plan and Policy 2002; 15.

Das S. K, Biswas A, Roy J, Bose Promitaet, al., Prevalence of major neurological

disorders among geriatric population in metropolitan city of Kolkakta. JAPI, 2008:56 ,


George S. Alexopoulos, Ira R. Katz , Martha L. Bruce, MoonseongHeo et. al,

Remission in Depressed Geriatric Primary care patients : A report from the

PROSPECT study. Am J Psychiatry 2005; 162: 718 - 724.

Michael A. Rapp, Karen Dahlman, Mary Sano, Hillel. Grossman et, al


Neuropsychological differences between late- onset and recurrent Geriatric major

depression. Am. J.Psychiatry 2005: 162: 691- 698.

Dan G.Blazer, Celia F.Hybels, Gerda G. and Carl F. Pieper. Predictors of

Antidepressant use among older adults : Have they changed over time ? .

Am. J. Psychiatry (2005); 162: 705- 710.

Alex J. Mitchell and HariSubramaniam . Prognosis of Depression in old age

compared to middle age : A systematic review of comparative studies.

Am. J. Psychiatry2005 ;162: 1588- 1601.

Ritchie K, Artero S, Beluche I et al. Prevalence of DSM IV Psychiatric disorder in

French elderly population. Br J Psychiatry 2004, 184 :147-152.

Christopher R. Bowie, Irene Tsapelas, Joseph Friedman, Leonard white et, al


The longitudinal course of thought disorder in Geriatric patients of schizophrenia.

Am. J Psychiatry 2005; 162:793-795.

Judith C, Hays R N, David C Steffens et al. Does social support buffer Functional

Patients with Unipolar Depression ? . Am J Psychiatry November 2001, 158 :11,


Gurvinder Pal Singh, B.S. Chavan , PritiArun , Lobraj, AjeetSidana .Geriatric Out

patients with psychiatric illness in a teaching hospital - A Retrospective study.

Indian J. Psychiatry, (2004) 46 (2), 140- 143.

Anil Goswami, V.P. Reddaiah, S K Kapoor, Bir Singh el al . Tobacco and alcohol use

in rural elderly Indian population . Indian J. Psychiatry,2005; 47 : 192 -197.

K.S. Shaji, N. R. Kishor, K. Praveen Lal, Charles Pinto . Better Mental Health Care

for Older people in India. Indian J. Psychiatry , 2004 46, (4): 367- 372.

Annette Erlangsen ,Preben Bo Mortensen , Werner Vach and Bernard Jeune.

Psychiatric hospitalization and suicide among the very old in Denmark: population –

based register study. Indian J Psychiatry, (2005), 187: 43-48.

Braam A. W., Prince M.J, Beekman A.T. F, et, al.Physical health and depressive

symptoms in older Europeans. Br. J. Psychiatry 2005, 187: 35-42.


Max L. Stek, David J. Vinker, Jacobin Gussekloo, Aartjan T. F. Beekman et. al.Is

Depression in old age fatal only when people feel lonely ? Am. J Psychiatry 2005;

: 178 – 180.

Srinivas N. Tirupati, Rebecca N .Punitha .Effect ofRaloxifene on prevention of

Dementia and cognitive impairment in older women : The Multiple Outcomes of

RaloxifeneEvaluation (MORE) Randomized Trial . Am . J. of Psychiatry162:4,


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