Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 19

Læknablaðið : fylgirit - 01.08.2003, Blaðsíða 19
ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS I assessment of body image. The number of patients studied is 87 and a great majority of them are female. More than half of the patients (47) filled in the questionnaires more than once but 40 patients scored only once, as they did not stay on in therapy. ResuUs: Analysis of this material is underway and will be presented at the conference. F ~ 5 / 3 Friday 15/8, 15:00-16:00 ■ntegrated psychosomatic medicine in a department of acute internal medicine as part of the psychosocial service provision of a metropolitan area StefTen Haefner, Dr.. Centre for Psychotherapy Research, Christian-Belser-Str. 79a, 70597 Stuttgart, Germany. Rainer Schaefert, Joachim Roehm, Hans Wedler. "Mfnerí&psyres-stuttgart.de Background/aims: The study evaluates the integration of a hospital for internal medicine in the psychosocial health care system of a South German metropolitan area (Stuttgart). Method: During a nine-months study period, data of ali patients admitted to the hospital were collected about the way of admission to the hospital, treatments prior to admission, days in hospital, somatic and psychosomatic diagnoses according to ICD-10, the treatment on the wards, and the treatment after discharge. At ad- ntission and for the catamnestic evaluation 6 rnonths after dis- charge, patients were given the SCL-90-R-questionnaire. Results: A total of 1.250 treatment episodes could be included in the study: 245 (19.%) were classified as psychosomatic patients, 232 (18.6%) as patients with addictive behaviour, 25 (2.0%) as psychia- tric patients, and 748 (59.8%) as internal-somatic patients. 55.5% of psychosomatic patients have not had any kind of psychosocial treatment during the last 12 months prior to admission to hospital. 84.1% of the psychosomatic patients were recommended for further psychosocial treatment after discharge. GSI of SCL-90-R was re- duced from 1.20+0.74 to 0.92+0.80. Conclusion: The low rate of patients with psychosocial treatment before admission to the hospital emphasizes the important switch function of the department for further treatment. F~5/4 Friday 15/8,15:00-16:00 Organization of old age psychiatry in Norway: Past, Present and future Asgcir Brugason. MD, Psychiatrist. Chairman of the Working Group for Old Age Psy- chiatry, Norwegian Psychiatric Assoc., Diakonhjemmet Hospital, Oslo, PB 23 Vinderen. • 5-Oslo, Norway. Knut Engedal. osgeir 1 @msn.com Background: Old Age Psychiatry has existed in Norway for about 30 years. It has been developing rapidly since 1990. The Working Group for Old Age Psychiatry (Norwegian Psychiatric Associa- tion) has collected information regarding the field in Norway. Ainis: To describe the field of Old Age Psychiatry in Norway, past, present, and future. Method: Results of queries answered by Norwegian Old Age Psychiatrists in 1990,1995, and 2001. Results: There was no specialized outpatient department in 1990,14 in 2001. There were 15 consultant appointments in 1990,39 in 2001, internships increased from 10 to 22 and psychologists from 10 to 31. The number of beds decreased while the number of admissions has increased. The length of admissions has decreased dramatically. The number of outpatient consultations increased from 4469(1451) in 1995 to 7152(2526) in 2001. The nurnber of PhD’s within the field increased from 1 to 5. Conclusions: Old Age Psychiatry is rapidly expanding in Norway and is seeing more patients than ever. The length of admissions is steadily decreasing. More patients are being treated as outpatients. The academic activity is increasing but is still low, especially re- garding depression and psychotic disorders. In our view the field of Old Age Psychiatry in Norway is now mature enough to become a subspecialty. F - 6 /1 Friday 15/8, 15:00-16:00 Quality of life in patients with implantable defibrillators compared to that of pacemaker recipients Murgrét Leósdóttirt, Sigurösson E>, Reimarsdóttir Gi, Gottskálksson G', Vigfúsdóttir M>, Torfason B>, Eggertsson S2, Amar DO> iLandspítali-University Hospital, Reykjavik, Iceland 2Department of Anthropology, University of Iceland, Reykjavík, Iceland Introduction: While indications for Implantable Cardioverter Defi- brillators (ICD) continue to proliferate, questions remain regarding the quality of life of these patients. Some studies indicate a poorer quality of life for ICD patients than the general population. How- ever, studies comparing the quality of life of ICD patients with that of patients with other implantable cardiac devices are lacking. Aims: To test the hypothesis that ICD patients have a poorer qua- lity of life than pacemaker patients. Methods: The Icelandic Quality of Life Questionnaire (IQL) was submitted to 41 ICD patients (mean age 62 years) and a compari- son group of 61 patients with pacemakers (mean age 64 years). Additionally, questions regarding topics, which might be of rele- vance to ICD patients, were administered. Results: No difference was found between the ICD and pacemaker groups on IQL scores. However, ICD patients were slightly more fearful of death (p=0,07) and towards returning to work (p=0,07) than pacemaker patients but this fell just short of statistical signifi- cance in our relatively small sample. Conclusion: Contrary to our predictions, the overall quality of life among ICD patients was similar to that of pacemaker recipients. F-6/2 Thursady 15/8,15:00-16:00 Amyloid beta-peptide pathology in demented elderly patients with schizophrenia Rvliga D>-2, MD, PhD Studcnt, Neurotec, Karolinska Institutet, KFC, Novum, plan 4, 141 86 Stockholm, Sweden, Laudon H2, Styczynska M>, Winblad B2, Naslund J2, Haroutunian V2. >CMDiK, PAN, Warsaw, Poland, 2Karolinska Institutet, Neurotec, Stockholm. Sweden, 3MSSM/BVAMC, Bronx, NY, USA dorota.religa@neurotec.ki.se L/EKNABLAÐIÐ / FYLGIRIT 48 2003/89 19
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