Prevalence of executive impairment in patients seen by a psychiatry consultation service.

Full Abstract

The prevalence of impairment of executive function among 50 medical inpatients referred for psychiatric consultation was assessed by using the Executive Interview (EXIT25) and an executive clock-drawing task (CLOX). The Mini-Mental Status Examination (MMSE) was also administered to assess general cognition. The percentage of patients who failed each test was calculated. Seventy-two percent failed at least one measure of executive function, whereas only 30% failed the MMSE. The results suggest that impairment of executive function is common among inpatients referred for psychiatric consultation. Because impairment of executive function has been specifically associated with behavioral and functional disability, routine assessment of executive function should be integrated into psychiatric case management.

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Author information

Author/s: Schillerstrom, Jason E (JE); Deuter, Melissa S (MS); Wyatt, Rob (R); Stern, Stephen L (SL); Royall, Donald R (DR);

Affiliation: Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA. schillerstr@uthscsa.edu

Journal and publication information

Publication Type: Journal Article

Journal: Psychosomatics (Psychosomatics), published in United States. (Language: eng)

Reference: -2003 Jul-Aug; vol 44 (issue 4) : pp 290-7

Dates: Created 2003/06/30; Completed 2003/08/19; Revised 2004/11/17;

PMID: 12832594, status: MEDLINE (last retrieval date: 11/6/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Cognition Disorders - diagnosis; epidemiology
Female
Humans
Male
Middle Aged

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