Journal of Korean Geriatric Psychiatry

노인정신의학

pISSN 1226-6329 / eISSN 2733-4600


노인정신의학

대한노인정신의학회 (2권2호 133-139)

Assessment of Psychotic Symptoms in the Elderly Patients

노인환자에서 정신병적 증상의 평가

김승현(Seung-Hyun Kim)

Abstract

Late-life-onset psychosis is a common condition but heterogeneous and insufficiently explored syndrome. Geriatric psychiatrists are often required to assess psychotic symptoms of many different patients. This assessment can involve evaluating the patient's perception, thought, judgement and competence. To assess it objectively, one should consider several issues. First of all, geriatric psychiatrist must be familiar with the natural history and symptomatology of the common mental illness in the elderly. This knowledge is important because some mental disorders may present differently in old age. Second, the assessment of cognitive function is a crucial component of the geriatric mental status examination. Cognitive disorder affect language, perception, mood, thinking and personality. Finally the clinician should assess a patient's capacity to make decisions. Geriatric mental illness can interfere with judgment and reasoning. The following discussion is meant as a guide to assess psychotic symptoms of the geriatric patients.

Keywords

노년기 정신병,정신병적 증상,정신상태 검사, Late-life-onset psychosis,Psychotic symptoms,Mental status examination