노인정신질환자의 통계적 고찰 (Running title：노인정신질환자 )

A Statistical Study on Senile Psychiatric Patients

Dept, of Neuro-Psychiatry, Keimyung University Medical School and Hospital, Taegu, Korea. The authors conducted a statistical study of 443 elderly patients who had visitea the neuropsychiatric department, Keimyung University Hospital for the past 17 years from 1965 to 1981, and they were older than 60 years of age at the time of their first visit. The results are summarized as follows: 1. Of the total psychiatric patients who visited the hospital during the period of 1965 to 1981, the elderly patients were 2.7096 and of inpatients were 1.62% of the total inpatients, 2. Of the clinical diagnoses, neurosis was the most common (42.396), followed by organic brain syndromes and functional psychoses. 3. Female patients outnumbered male in neurosis, whereas male patients outnumbered female in organic brain syndromes. 4. Organic brain syndromes were consisted of senile psychosis (27.9% ), cerebral arteriosclerosis (21.2%), alcoholic psychosis (14.5%), and sequella of CO intoxication (12.7%) t in its descending order. 5. Among the functional psychoses, involutional melancholia and psychotic depressive reaction were the most frequently found in about three fourths, and the others such as schizophrenia and paranoid state were about 10 percent respectively. 6. Of the associated physical illnesses, cardiovascular and eye and E.N.T. diseases were most frequent. The frequeny of cardiovascular, respiratory, and genitourinary diseases were directly proportional to the increasing age of the patients. 7. Considering the duration of treament, two thirds were treated in the neuropsychiatric service for lesser than a month, and the average duration was 76.8 days, 8. Elderly inpatients： a. Male patients where almost two times that of female ones. b. Among the clinical diagnoses, organic brain syndromes and functional psychoses were most common. c. Average duration of hospitalization was 26.8 days, and the longest was functional psychosis lasting 50.8 days. d. Overall hospitalization treatment brought recovery rate of 44.4%, and the functional disorders showed higher recovery rate than that of the organic brain syndromes