Conference paper
CLINICAL UTILIZATION OF THE RATING SCALE OF MIXED STATES (GT-MSRS) IN A PSYCHIATRIC INPATIENT UNIT: A RETROSPECTIVE STUDY
Alba Cervone
; Psychiatrist Inpatient Unit, “Ospedale del Mare”, Mental Health Department, ASL NA1 Centro, Naples, Italy
Giuseppe Cimmino
; Psychiatrist Inpatient Unit, “Ospedale del Mare”, Mental Health Department, ASL NA1 Centro, Naples, Italy
Francesco Paolo D’Ostuni
; Psychiatrist Inpatient Unit, “Ospedale del Mare”, Mental Health Department, ASL NA1 Centro, Naples, Italy
Giulia Esposito
; Psychiatrist Inpatient Unit, “Ospedale del Mare”, Mental Health Department, ASL NA1 Centro, Naples, Italy
Manlio Russo
; Psychiatrist Inpatient Unit, “Ospedale del Mare”, Mental Health Department, ASL NA1 Centro, Naples, Italy
Giuseppe Tavormina
; President of Psychiatric Studies Centre (Cen.Stu.Psi. – www.censtupsi.org), Brescia, Italy
Abstract
Mixed states are often underdiagnosed, with important consequences in terms of worsening prognosis, frequent admission to the
hospital, higher suicide risk and poorer quality of life. For this reason, we analyzed retrospective data from patients admitted in the
Psychiatric Hospital from January 1st to April 30th 2019 to identify clinical features of the mixed states by administering the G.T.
MSRS scale. Within the 90 subjects of the sample, the large majority (75%) met criteria for mixed state. Of those only 16 were
discharged with a diagnosis of Affective Disorder, however 26 (30.9%) were prescribed a mood stabilizer. This study shows that
there is a high prevalence of mixed states in the inpatient unit admission, which is demonstrated both from the prescription of mood
stabilizers, and confirmed by the diagnosis of mixed states rated with the scale. The scale can be a useful instrument to detect early
in the course if the hospitalization the presence of mixed state, in order to guide a tailored psychopharmacological treatment, and
improve prognosis.
Keywords
mixed state; bipolar spectrum; unitary psychosis; mixed state rating scale; tailored treatment
Hrčak ID:
264145
URI
Publication date:
4.9.2019.
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