RESUMO
The objective of the study was to find the prevalence of thyroid dysfunction in long-term care patients referred to psychiatry. We reviewed 868 charts of long-term care residents referred for psychiatric consultation to the university-based psychiatry outreach service. Data obtained were demographics, psychiatric and thyroid diagnoses, and TSH data. Of 868 patients, 10.8% had elevated TSH, 8% in those with a prior diagnosis of hypothyroidism. TSH was low in 0.07%. Elevated TSH was associated with female gender (p<0.001) and a trend with psychosis (p=0.056). No association was found with depression or behavioral disturbance in this study.
Assuntos
Transtornos Mentais , Serviços de Saúde Mental/estatística & dados numéricos , Tireotropina/sangue , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Humanos , Hipotireoidismo/sangue , Hipotireoidismo/epidemiologia , Hipotireoidismo/fisiopatologia , Assistência de Longa Duração , Masculino , Transtornos Mentais/sangue , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , PrevalênciaRESUMO
Sensory impairment hallucinations, such as visual hallucinations with visual loss, may not respond to traditional treatments such as antipsychotics. In this case series, the authors describe four patients with either visual or musical hallucinations associated with sensory impairment who were successfully treated with gabapentin.
