Psychiatric disorders in African American nursing home residents

C. Andrew Class, Frederick Unverzagt, Sujuan Gao, Kathleen Hall, Olusegun Baiyewu, Hugh Hendrie

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: High prevalence rates of psychiatric illness and high levels of behavioral disturbance have been reported in studies of nursing hove residents; however, the populations evaluated have been predominantly Caucasian. The aims of the present study were to identify prevalence rates of psychiatric disorders and behavioral disturbances in a sample of African American nursing home residents. Method: The authors evaluated 106 African American nursing home residents, aged 65 and over, form a representative sample of nursing homes. The evaluation included informant interview with nursing home staff, cognitive assessment, and a psychiatric interview that included a physical and neurological examination. Consensus diagnoses were reached by using DSM-III-R criteria. Results: Of the 106 subjects, 90% received at least one primary psychiatric diagnosis, and 71% had at least one behavioral problem; demential was the most common psychiatric diagnosis (68%). Thirty-one percent of the patients were treated with neuroleptic medications; most of these patients received diagnoses of dementia or schizophrenia. Fifteen percent of the patients had been in physical restraints, which correlated with physical disability. Conclusions: The prevalence of psychiatric illness in this sample of african American nursing home residents is similar to that reported in previous studies with predominantly Caucasians populations. Behavioral disturbances, while commonly reported, where somewhat less frequent than reported in previous studies.

Original languageEnglish (US)
Pages (from-to)677-681
Number of pages5
JournalAmerican Journal of Psychiatry
Volume153
Issue number5
StatePublished - May 1996
Externally publishedYes

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Nursing Homes
African Americans
Psychiatry
Mental Disorders
Interviews
Physical Restraint
Homes for the Aged
Nursing Staff
Neurologic Examination
Diagnostic and Statistical Manual of Mental Disorders
Antipsychotic Agents
Population
Physical Examination
Dementia
Schizophrenia
Consensus
Nursing

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Psychiatric disorders in African American nursing home residents. / Class, C. Andrew; Unverzagt, Frederick; Gao, Sujuan; Hall, Kathleen; Baiyewu, Olusegun; Hendrie, Hugh.

In: American Journal of Psychiatry, Vol. 153, No. 5, 05.1996, p. 677-681.

Research output: Contribution to journalArticle

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